

Three years of experience using autologous conditioned plasma in surgery of complex vitreoretinal pathology
Heading: Тhematic supplement Article type: Short message
Authors: Arsyutov D.G.
Organization: Republican Clinical Ophthalmologic Hospital, Сhuvashia
Purpose: to evaluate the effectiveness and long-term results of using autologous conditioned plasma in the surgery of complex vitreoretinal pathology. Material and Methods. Since 2018, more than 250 patients with various vitreal pa- thologies of the posterior eye segment have been operated. The developed technology made it possible to completely eliminate the need for laser coagulation of the retina, to minimize silicone tamponade of the vitreal cavity. A method of seamless sealing of sclerotomies and conjunctivotomies by autologous conditioned plasma has been developed and successfully applied. Results. Complete adhesion of the retina and sealing of defects in the structures of the eye after using autologous conditioned plasma were observed in all patients. In the long-term follow-up period up to 28 months, there were isolated recurrences of retinal detachment due to the progression of proliferative vitreoretinopathy More than 89% of patients had no complications in the long-term period. Complete closure of the sclerotomies and conjunctivotomies without the use of additional suture fixation had been achieved. Conclusion. The use of autologous conditioned plasma is an effective and safe method of sealing defects of the retina, choroid, sclera in complex open eye injury, in rhegmatogenous retinal detachment surgery, in surgery of cicatricial stage of subretinal neovascular membrane, allowing to completely eliminate the need for laser coagulation.
Bibliography:
1. Zaharov VD. Vitreoretinal surgery. Moscow, 2003; 164 p.
2. Charles S, Calzada J, Wood В. Vitreous Microsurgery: transl. from Engl. by A. N. Samoylov (ed.). Moscow: MEDpress-inform, 2012; 400 p.
3. Zernova LA. Initial surgical treatment of scleral injuries by the method of alloscleroplasty with the episcleral side: PhD abstract. Moscow, 2010; 24 p.
4. Emmerich К-Н, Edel G. Morphologische Veranderungen nach Fibrinklebung der Netzhaut am Kaninchenauge. In: Fibrinklebung in der Ophthalmochirurgie. Stuttgard: Enke, 1995; p. 43-52.
5. Method of surgical treatment of retinal detachment with peripheral retinal tears: Patent RU 2683740 C1, 01.04.2019/Pashtaev NP, Arsyutov DG.
6. Krupina ЕА. Surgical treatment of idiopathic macular rupture using platelet-rich blood plasma: PhD abstract. Moscow, 2019; 21 p.
7. Arsyutov DG. Use of autologous conditioned platelet-rich plasma in surgery for rhegmatogenous retinal detachment with central and peripheral tears. Acta Biomedica Scientifica (East Siberian Biomedical Journal) 2019; 4 (4): 61-5.
8. Akulov SN, Kabardina EV, Bronnikova NS. The use of autologous conditioned plasma in the surgical treatment of retinal detachment complicated by macular hole. Modern Technologies in Ophthalmology 2020; 1: 88-90.
9. Lyskin PV, Zakharov VD, Zgoba Ml. Influence of endolaser photocoagulation on the postoperative period in patients with retinal detachment. Modern Technologies in Ophthalmology 2017; 1 (14): 173-6
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