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Velieva I.A.

Research Institute of Eye Diseases

Surnina Z.V.

Krasnov Research Institute of Eye Diseases

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

Authors:

Velieva I.A., Surnina Z.V.

More about the authors

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

DOI: 10.17116/oftalma202013606150

Views: 4558

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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 2025 (Russian Annals of Ophthalmology)
 
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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

Received:

04.02.2020

Accepted:

14.07.2020

List of references:

  1. Greenberg Paul B, Baumal Caroline R. Laser therapy for rhegmatogenous retinal detachment. Current Opinion in Ophthalmology. 2001;12:171-174.  https://doi.org/10.1097/00055735-200106000-00004
  2. Seang-Mei Saw, Gus Gazzard, Ajeet M. Wagle, Jimmy Lim and Kah-Guan Au Eong. An evidence-based analysis of surgical interventions for uncomplicated rhegmatogenous retinal detachment. Acta Ophthalmol. Scand. 2006; 84:606-612.  https://doi.org/10.1111/j.1600-0420.2006.00715.x
  3. Kim RY, Amico DJ. Postoperative complications of pneumatic retinopexy. Int Ophthalmol Clin. 2000;40:165-173.  https://doi.org/10.1097/00004397-200001000-00016
  4. Ambati J, Arroyo J. Postoperative complications of scleral buckling surgery. Int Ophthalmol Clin. 2000;40:175-185.  https://doi.org/10.1097/00004397-200040010-00017
  5. Greven CM, Wall AB, Slusher MM. Anatomic and visual results in asymptomatic clinical rhegmatogenous retinal detachment repaired by scleral buckling. Am J Ophthalmol. 1999;128:618-620.  https://doi.org/10.1016/s0002-9394(99)00281-0
  6. Davis J, Hummer J, Feuer WJ. Laser photocoagulation for retinal detachments and retinal tears in cytomegalovirus retinitis. Ophthalmology. 1997; 104:2053-2061. https://doi.org/10.1016/s0161-6420(97)30059-1
  7. Boyko EV, Suetov AA, Maltsev DS. Lattice degeneration of the retina. Vestnik oftal’mologii. 2014;130(2):77-82. (In Russ.).
  8. Ahmadieh H, Moradian S, Faghihi H, et al. Anatomic and visual outcomes of scleral buckling versus primary vitrectomy in pseudophakic and aphakic retinal detachment. Six-month follow-up results of a single operation. Report 1. Ophthalmology. 2005;112:1421-1429. https://doi.org/10.1016/j.ophtha.2005.02.018
  9. Mulvihill A, Fulcher T, Datta V. Pneumatic retinopexy versus scleral buckling: a randomized controlled trial. Ir J Med Sci. 1996;165:274-277.  https://doi.org/10.1007/bf02943089
  10. Veckeneer M, Van Overdam K, et al. Randomized clinical trial of cryotherapy versus laser photocoagulation for retinopexy in conventional retinal detachment surgery. Am J Ophthalmol. 2001;132:343-347.  https://doi.org/10.1016/s0002-9394(01)01026-1
  11. Brazitikos P, Androudi S, Christen W. Stangos N. Primary pars plana vitrectomy versus scleral buckle surgery for the treatment of pseudophakic retinal detachment. A randomized clinical trial. Retina. 2005;24:957-964.  https://doi.org/10.1097/00006982-200512000-00001
  12. Li X. Beijing. Rhegmatogenous Retinal Detachment Study Group. Incidence and epidemiological characteristics of rhegmatogenous retinal detachment in Beijing, China. Ophthalmology. 2003;110:2413-2417. https://doi.org/10.1016/s0161-6420(03)00867-4
  13. Bolshunov AV, Ilina TS, Rodin AS, Lihnikevich EN. The influence of risk factors on the therapeutic efficacy of restrictive laser coagulation for peripheral retinal breaks. Oftalmohirurgiya i terapiya. 2001;1:53-58. (In Russ.).
  14. Avanesova TA. Rhematogenous retinal detachment: current state of the problem. Oftal’mologiya. 2015;12(1):24-32. (In Russ.).

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