Optimized technology of YAG-laser vitreolysis of occurrence of the vitreous body

Introduction. Vitreous opacities are quite common, occurring in 76% of cases and significantly reducing quality of life in 33% of them. YAG-laser vitreolysis is considered as an alternative treatment option for patients with floating vitreous opacities. Purpose. To develop an optimized YAG-laser vit...

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Main Authors: Yu. Yu. Khzardzhan, V. P. Fokin, A. S. Balalin, S. V. Balalin
Format: Article
Language:Russian
Published: Publishing house "Ophthalmology" 2021-10-01
Series:Офтальмохирургия
Subjects:
Online Access:https://www.ophthalmosurgery.ru/jour/article/view/782
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author Yu. Yu. Khzardzhan
V. P. Fokin
A. S. Balalin
S. V. Balalin
author_facet Yu. Yu. Khzardzhan
V. P. Fokin
A. S. Balalin
S. V. Balalin
author_sort Yu. Yu. Khzardzhan
collection DOAJ
description Introduction. Vitreous opacities are quite common, occurring in 76% of cases and significantly reducing quality of life in 33% of them. YAG-laser vitreolysis is considered as an alternative treatment option for patients with floating vitreous opacities. Purpose. To develop an optimized YAG-laser vitreolysis technology based on the assessment of the acoustic density of the vitreous opacities. Material and methods. The results of YAG-laser vitreolysis of vitreous opacities in 318 patients (318 eyes) were analyzed. A photo-optical method has been developed for visualizing opacities of the vitreous body, registering the area of opacities and the dimming intensity index. A method has been developed for the personalized selection of laser energy taking into account the acoustic density of the vitreous opacities. Results. After performing multi-stage laser treatment, a significant decrease in the area of opacities and the dimming intensity index, an increase in the threshold of retinal photosensitivity according to microperimetry data and a decrease in the acoustic density of opacities were noted. Conclusions. Application of optimized YAG-laser vitreolysis technology for vitreous opacities allows to achieve the best values of clinical and functional parameters (p<0.05).
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spelling doaj.art-a7d43caf108b4ccf919cf3c7646030eb2023-01-20T12:34:52ZrusPublishing house "Ophthalmology"Офтальмохирургия0235-41602312-49702021-10-0103556410.25276/0235-4160-2021-3-55-64523Optimized technology of YAG-laser vitreolysis of occurrence of the vitreous bodyYu. Yu. Khzardzhan0V. P. Fokin1A. S. Balalin2S. V. Balalin3Fyodorov Eye Microsurgery Federal State Institution, Volgograd BranchFyodorov Eye Microsurgery Federal State Institution, Volgograd BranchFyodorov Eye Microsurgery Federal State Institution, Volgograd BranchFyodorov Eye Microsurgery Federal State Institution, Volgograd Branch; Volgograd State Medical UniversityIntroduction. Vitreous opacities are quite common, occurring in 76% of cases and significantly reducing quality of life in 33% of them. YAG-laser vitreolysis is considered as an alternative treatment option for patients with floating vitreous opacities. Purpose. To develop an optimized YAG-laser vitreolysis technology based on the assessment of the acoustic density of the vitreous opacities. Material and methods. The results of YAG-laser vitreolysis of vitreous opacities in 318 patients (318 eyes) were analyzed. A photo-optical method has been developed for visualizing opacities of the vitreous body, registering the area of opacities and the dimming intensity index. A method has been developed for the personalized selection of laser energy taking into account the acoustic density of the vitreous opacities. Results. After performing multi-stage laser treatment, a significant decrease in the area of opacities and the dimming intensity index, an increase in the threshold of retinal photosensitivity according to microperimetry data and a decrease in the acoustic density of opacities were noted. Conclusions. Application of optimized YAG-laser vitreolysis technology for vitreous opacities allows to achieve the best values of clinical and functional parameters (p<0.05).https://www.ophthalmosurgery.ru/jour/article/view/782vitreous body opacitiesphoto-optical methodefficiency of yag-laser vitreolysis
spellingShingle Yu. Yu. Khzardzhan
V. P. Fokin
A. S. Balalin
S. V. Balalin
Optimized technology of YAG-laser vitreolysis of occurrence of the vitreous body
Офтальмохирургия
vitreous body opacities
photo-optical method
efficiency of yag-laser vitreolysis
title Optimized technology of YAG-laser vitreolysis of occurrence of the vitreous body
title_full Optimized technology of YAG-laser vitreolysis of occurrence of the vitreous body
title_fullStr Optimized technology of YAG-laser vitreolysis of occurrence of the vitreous body
title_full_unstemmed Optimized technology of YAG-laser vitreolysis of occurrence of the vitreous body
title_short Optimized technology of YAG-laser vitreolysis of occurrence of the vitreous body
title_sort optimized technology of yag laser vitreolysis of occurrence of the vitreous body
topic vitreous body opacities
photo-optical method
efficiency of yag-laser vitreolysis
url https://www.ophthalmosurgery.ru/jour/article/view/782
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