Features of surgical treatment for traction macular syndrome in patients with high myopia
Year: 2021, volume 17 Issue: №3 Pages: 615-619
Heading: Тhematic supplement Article type: Original article
Authors: Andreichenko O.A., Plotnikova Е.Е., Melnikova Yu.A.
Organization: Saratov State Medical University, University Clinical Hospital №2 (Clinic of Eye Diseases)
Heading: Тhematic supplement Article type: Original article
Authors: Andreichenko O.A., Plotnikova Е.Е., Melnikova Yu.A.
Organization: Saratov State Medical University, University Clinical Hospital №2 (Clinic of Eye Diseases)
Summary:
Purpose: optimization of vitrectomy technique in order to improve functional and anatomical results in surgery for myopic traction maculopathy Material and Methods. A total of 64 patients with myopic traction maculopathy were examined. All patients (three groups) underwent a standard 3-port 25G vitrectomy. In group 1 (n=25), the epiretinal membrane was removed and the internal border membrane (IBM) was peeled. In the case of rigid IBM, the vitreous cavity was not tamponed. In group 2 (n=15) membrane peeling was performed, the vitreous cavity was plugged with a gas-air mixture. In group 3 (n=24), the IBM was removed, platelet mass was injected, and the vitreous cavity was tamponed with a gas-air mixture in 20 patients; in 4 patients of the 3rd group, the technique of the inverted flap of the IBM was used due to the large diameter of the rupture (more than 900 urn). Results. In all three groups of patients, a positive anatomical and functional effect of treatment was achieved. In all patients, according to results of optical coherence tomography, the thickness of the retina decreased, there was no traction effect on the retina, and in the 3rd group of patients, complete closure of the macular gap was achieved. Subjectively, patients noted a decrease or disappearance of metamorphopsias and an increase in the maximum corrected visual acuity (MCVA). Conclusion. In all cases examined by us, vitrectomy led to elimination of traction syndrome, closure of macular hole, and improvement of MCVA.
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