АНАТОМИЧЕСКАЯ ЭФФЕКТИВНОСТЬ РАЗЛИЧНЫХ ВАРИАНТОВ ВИТРЕАЛЬНОЙ ХИРУРГИИ БОЛЬШИХ РАЗРЫВОВ МАКУЛЫ

Аннотация

The aim of our study was to evaluate the anatomical effect of vitreous surgery of large macular tears using various defect closure techniques. Materials and methods: the present study included 200 eyes (188 patients), in which, upon initial examination, a large macular rupture was diagnosed. All patients underwent surgical intervention - vitrectomy with macular rupture plasty. Two variants of plastic surgery were used - subrctinal implantation of the amniotic membrane (group-A) and reversal of the flap of the internal bordering membrane (group-B). Results: The anatomical efficiency of vitreous surgery for large macular ruptures is minimal in the case of traumatic niptures (82.50%) and maximum in the case of ruptures due to vitreomacular traction (96.40%, p <0.05) and does not depend on the size of the rupture (less and more than 691,5 microns. Predictors of an unfavorable prognosis for vitreal surgery of large macular ruptures are ruptures of more than 691.5 microns, myopic etiology of rupture, and plastic surgery by reversal of the flap of the internal borderline membrane.