Saratov JOURNAL of Medical and Scientific Research

retinal tear blockage without laser coagulation of the retina

Use of platelet rich plasma, including autologous conditioned plasma, in the surgery of perforating eye injuries

Year: 2020, volume 16 Issue: №1 Pages: 207-210
Heading: Ophtalmology Article type: Original article
Authors: Arsyutov D.G.
Organization: Republican Clinical Ophthalmologic Hospital, Сhuvashia

The purpose of the study is to evaluate the effectiveness of surgical treatment of double perforating eye injury of different localization and length with the damage to the retina, the vascular layer and the sclera of the posterior eye segment, using platelet rich plasma, including autologous conditioned plasma, without additional scleroplasty and endolaser photocoagulation. Material and Methods. The surgery technique involves carrying out 25+ gauge vitrec-tomy, removing the foreign body, posterior hyaloid membrane, in case of central and paracentral retinal detachment it involved removing the inner limiting membrane. Pneumoretinopexy was performed. After maximum removal of liquid between the air bubble and the tear we carried out instillation of platelet rich plasma or autologous conditioned plasma in 2-3 layers, involving retina around the tear, until full repair of the scleral-choroidal-retinal tear without laser coagulation, additional scleral suturing and external scleroplasty. The study involved nine patients with visual acuity from the incorrect visual projection to 0.02. Results. In the early postoperative period the retina was reattached in all the patients, the scleral-choroidal-retinal tear was blocked. In the long-term (1-12 months) period, no recurrent depressurization of the eyeball wall and retinal detachments were recorded. In two patients the healing was accompanied by the rough chorioretinal scar formation and retinal duplicate in the scarring area. The visual acuity of the operated patients was 0.03-0.4. Conclusion. Surgical treatment of the double perforating eye injury, accompanied by retinal detachment, with the use of platelet rich plasma and autologous conditioned plasma without laser coagulation of the retina, scleral suturing of the posterior eye segment and additional scleroplasty is a method that allows to achieve total scleral and chorioretinal repair and get a good anatomical and functional result.

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