Macular edema after surgical treatment of rhegmatogenous retinal detachment – the possibilities of its prediction

The aim: to develop a mathematical model for predicting macular edema based on the informativeness of clinical and instrumental predictors of its occurrence.Materials and methods. To determine the risk factors for macular edema 64 patients (64 eyes) with macula-off rhegmatogenous retinal detachment...

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Main Authors: E. V. Boiko, I. V. Khizhnyak
Format: Article
Language:Russian
Published: Scientific Сentre for Family Health and Human Reproduction Problems 2021-12-01
Series:Acta Biomedica Scientifica
Subjects:
Online Access:https://www.actabiomedica.ru/jour/article/view/3111
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author E. V. Boiko
I. V. Khizhnyak
author_facet E. V. Boiko
I. V. Khizhnyak
author_sort E. V. Boiko
collection DOAJ
description The aim: to develop a mathematical model for predicting macular edema based on the informativeness of clinical and instrumental predictors of its occurrence.Materials and methods. To determine the risk factors for macular edema 64 patients (64 eyes) with macula-off rhegmatogenous retinal detachment complicated by proliferative vitreoretinopathy (grade Cp 1–2) were selected. A retrospective analysis of the surgical treatment results was carried out. The age of the patients ranged from 30 to 81 years (28 women and 36 men).Results. Using regression analysis, two signifi cant factors were identifi ed: the sum of 8 meridians of the visual fi eld before surgery (p = 0.015) and the number of detached quadrants (p = 0.021). Based on the identifi ed factors, a model was obtained for predicting the occurrence of macular edema in the postoperative period for the patients with rhegmatogenous retinal detachment. Conclusion. Based on the analysis of clinical and instrumental indicators in patients with rhegmatogenous retinal detachment, a mathematical model has been developed that allows predicting the occurrence of macular edema in the postoperative period.The application of the proposed prediction model makes it possible to determine the tactics of treatment (peeling of internal limiting membrane) and predict the appearance of macular edema at the preoperative stage.
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spelling doaj.art-ecf8cdabbd5b4f7bb95404be7619dd4f2024-03-28T07:49:25ZrusScientific Сentre for Family Health and Human Reproduction ProblemsActa Biomedica Scientifica2541-94202587-95962021-12-0166-1566410.29413/ABS.2021-6.6-1.72241Macular edema after surgical treatment of rhegmatogenous retinal detachment – the possibilities of its predictionE. V. Boiko0I. V. Khizhnyak1Saint-Petersburg Branch of S. Fyodorov Eye Microsurgery Federal State Institution; North-Western State Medical University named after I.I. Mechnikov; S.M. Kirov Military Medical Academy Saint-Petersburg Branch of S. Fyodorov Eye Microsurgery Federal State Institution The aim: to develop a mathematical model for predicting macular edema based on the informativeness of clinical and instrumental predictors of its occurrence.Materials and methods. To determine the risk factors for macular edema 64 patients (64 eyes) with macula-off rhegmatogenous retinal detachment complicated by proliferative vitreoretinopathy (grade Cp 1–2) were selected. A retrospective analysis of the surgical treatment results was carried out. The age of the patients ranged from 30 to 81 years (28 women and 36 men).Results. Using regression analysis, two signifi cant factors were identifi ed: the sum of 8 meridians of the visual fi eld before surgery (p = 0.015) and the number of detached quadrants (p = 0.021). Based on the identifi ed factors, a model was obtained for predicting the occurrence of macular edema in the postoperative period for the patients with rhegmatogenous retinal detachment. Conclusion. Based on the analysis of clinical and instrumental indicators in patients with rhegmatogenous retinal detachment, a mathematical model has been developed that allows predicting the occurrence of macular edema in the postoperative period.The application of the proposed prediction model makes it possible to determine the tactics of treatment (peeling of internal limiting membrane) and predict the appearance of macular edema at the preoperative stage.https://www.actabiomedica.ru/jour/article/view/3111rhegmatogenous retinal detachmentproliferative vitreoretinopathymacular edema
spellingShingle E. V. Boiko
I. V. Khizhnyak
Macular edema after surgical treatment of rhegmatogenous retinal detachment – the possibilities of its prediction
Acta Biomedica Scientifica
rhegmatogenous retinal detachment
proliferative vitreoretinopathy
macular edema
title Macular edema after surgical treatment of rhegmatogenous retinal detachment – the possibilities of its prediction
title_full Macular edema after surgical treatment of rhegmatogenous retinal detachment – the possibilities of its prediction
title_fullStr Macular edema after surgical treatment of rhegmatogenous retinal detachment – the possibilities of its prediction
title_full_unstemmed Macular edema after surgical treatment of rhegmatogenous retinal detachment – the possibilities of its prediction
title_short Macular edema after surgical treatment of rhegmatogenous retinal detachment – the possibilities of its prediction
title_sort macular edema after surgical treatment of rhegmatogenous retinal detachment the possibilities of its prediction
topic rhegmatogenous retinal detachment
proliferative vitreoretinopathy
macular edema
url https://www.actabiomedica.ru/jour/article/view/3111
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AT ivkhizhnyak macularedemaaftersurgicaltreatmentofrhegmatogenousretinaldetachmentthepossibilitiesofitsprediction