Saratov JOURNAL of Medical and Scientific Research

The use of autologous conditioned plasma in the surgery of cicatricial stage of choroidal neovascular membrane

Year: 2020, volume 16 Issue: №2 Pages: 569-572
Heading: Ophtalmology Article type: Short message
Authors: Arsyutov D.G.
Organization: Republican Clinical Ophthalmologic Hospital, Сhuvashia

The purpose of the study is to estimate the effectiveness of the cicatricial stage of choroidal neovascular membrane surgery with retina fixation after retinotomy of paracentral areas with the use of autologous conditioned platelet rich plasma (ACP), without performing endolaser photocoagulation and silicone oil tamponade. Material and Methods. The surgery technique involved performing the 25,27-gauge vitrectomy, removing the posterior hyaloid membrane, the inner limiting membrane in the presence of an epiretinal membrane, paracentral retinotomy, removing the choroidal neovascular membrane during retinotomy, pneumoretinopexy, ACP instillation in the retinotomy area in 2-3 layers without endolaser photocoagulation and silicone oil tamponade. Seamless closure of sclero and conjunctivotomy with a layer of autologous conditioned plasma. 17 patients with visual acuity from 0.02 to 0.08 were treated. Results. A full retinal reattachment and closure of the retinotomy opening in the late postoperative period was noted in all patients. Not a single recurrent retinal detachment was recorded. Complete closure of sclero and conjunctivotomy without the use of additional suture fixation in all cases was achieved. Visual acuity after removal of the cicatricial choroidal membrane in the long-term period was 0.03-0.2. Conclusion. Surgical treatment of the cicatricial stage of choroidal neovascular membranes using autologous conditioned plasma to close the retinotomy defect after removal of cicatricial choroidal neovascular membrane without endolaser coagulation of the retina and silicone tamponade, followed by seamless blocking of the sclero and conjunctivotomy with autologous conditioned plasma is a modern technique that allows to achieve high anatomical and functional results, minimizing the risk of postoperative complications.

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