Indications for retinal laser coagulation in the treatment of retinoschisis and rhegmatogenous retinal detachment

Velieva I.A.; Surnina Z.V.

doi:https://doi.org/10.17116/oftalma202013606150

Velieva I.A.

Research Institute of Eye Diseases

Surnina Z.V.

Krasnov Research Institute of Eye Diseases

ORCID: 0000-0001-5692-1800

Indications for retinal laser coagulation in the treatment of retinoschisis and rhegmatogenous retinal detachment

Authors:

Velieva I.A., Surnina Z.V.

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Journal: Russian Annals of Ophthalmology. 2020;136(6): 50‑56

DOI: 10.17116/oftalma202013606150

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To cite this article:

Velieva IA, Surnina ZV. Indications for retinal laser coagulation in the treatment of retinoschisis and rhegmatogenous retinal detachment. Russian Annals of Ophthalmology. 2020;136(6):50‑56. (In Russ.)
https://doi.org/10.17116/oftalma202013606150

Подписка 2026 Вестник офтальмологии (Russian Annals of Ophthalmology)

Использование инфографики авторами научных работ

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PURPOSE

To determine the indications and assess the effectiveness of laser coagulation of the retina (RLC) after different types of surgeries for retinal detachment (RD), except vitrectomy.

MATERIAL AND METHODS

The study included 160 patients (165 eyes) with various types of retinal detachment and retinoschisis who remained under observation for 11 years.

RESULTS

In case of retinal tear with a slight local RD (less than one quadrant), we recommend the use of RLC as monotherapy. Such patients are indicated to undergo regular examinations (1 month, 3 months, 6 months, 1 year). Due to risk of tractional defects of the retina in the lower quadrants during the introduction of gas-air mixture into the vitreous cavity, in the presence of retinal pathology it is recommended to perform RLC before the pneumatic retinopexy stage. In large retinal tears, despite their upper localization, pneumatic retinopexy is not indicated due to the possibility of gas spilling over the edges of the tear under the retina, leading to an increase in the initial size of the tear and spread of RD. We noted the effectiveness of RLC monotherapy for retinal detachment of various localization. After sealing the sclera, retinal laser coagulation on the shaft along the seal is necessary to limit the tear along the edge, since over time the seal may shift causing a relapse of RD.

CONCLUSION

The study has confirmed the effectiveness of laser coagulation of the retina as an independent method for the treatment of retinoschisis and retinal tears with local detachment.

Keywords:

laser coagulation of the retina

retinal detachment

retinoschisis

retinal rupture

Authors:

Velieva I.A.

Research Institute of Eye Diseases

Surnina Z.V.

Krasnov Research Institute of Eye Diseases

ORCID: 0000-0001-5692-1800

Received:

04.02.2020

Accepted:

14.07.2020

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References:

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