Saratov JOURNAL of Medical and Scientific Research

Larina Е.А.

National Medical and Surgical Center n. a. N. I. Pirogov, Center of Ophthalmology, Ophthalmologist

Dynamics of changes of microperimetry parameters of retina by closure of macular hole with preservation of internal limiting membrane

Year: 2020, volume 16 Issue: №2 Pages: 463-467
Heading: Ophtalmology Article type: Original article
Authors: Pavlovsky О.А., Fayzrakhmanov R.R., Larina Е.А., Sukhanova A.V.
Organization: National Medical and Surgical Center n. a. N. I. Pirogov

Objective: To evaluate the medical effectiveness of the macular hole closure (MH) technique, which is based on the limiting of the internal limiting membrane (ILM) peeling. Material and Methods: The results of surgical treatment of 80 patients (80 eyes) diagnosed with MH were analyzed. Patients are divided into two groups: group 1-patients who had a standard peeling; group 2-patients who were operated on using the original method with partial peeling of the macular area. All patients underwent visometry, biomicroscopy, ophthalmoscopy, and OCT-examination. Results: By the 30th day after surgical treatment, a statistically significant excess of light sensitivity parameters was detected in the nasal part of the pattern used: the upper-nasal and lower-nasal quadrants, where peeling was not performed (p=0.032) and (p=0.034), respectively. In the 1st observation group, the recovery of the fixation point was observed during the early and late operating period and at 12 months was 58.3% (p=0.041). In group 2 patients, by the time of 1 month after surgery, the recovery of the fixation point occurred in 88.7%. Conclusion: When conducting the method of limited peeling, the ILM is preserved, which reduces the risk of intraoperative damage to the retina layers. A higher functional result was obtained in comparison with the group where the standard method was used.

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