Author: Alexander Samoylov (Russian Federation)
Co-authors: Alexander Samoylov
To evaluate the effectiveness of surgical treatment of double perforating eye injury of different localization and length with the damage to the retina, the vascular layer and the sclera of the posterior eye segment, using autologous conditioned plasma, without additional scleroplasty and endolaser photocoagulation.
Federal State Budgetary Educational Institution of Higher Education «Kazan State Medical University of the Ministry of Healthcare of the Russian Federation (Kazan), State Autonomous Educational Institution Republican Clinical Ophthalmological Hospital of the Ministry of Healthcare of the Republic of Tatarstan (Kazan), Budgetary Institution of the Chuvash Republic «Republican Clinical Ophthalmological Hospital» of the Ministry of Healthcare of the Chuvash Republic (Cheboksary), Federal State Budgetary Educational Institution of Higher Education «The Chuvash State University named after I.N. Ulyanov» (Cheboksary).
The technique of operation consisted of carrying out 25+gauge vitrectomy, removing the foreign body, posterior hyaloid membrane, in case of central and paracentral retinal detachment - the inner limiting membrane, pneumoretinopexy, instillation of autologous conditioned plasma to the area of damage to the retina, the vascular layer and the sclera after maximum removal of the liquid between the air bubble and the tear, in 2-3 layers, involving retina around the tear, until the full repair of the sleral-choroidal-retinal tear without laser coagulation, additional scleral suturing and external scleroplasty is achieved.17 patients with visual acuity from the incorrect visual projection to 0.02 were treated.
In the early postoperative period the retina was reattached in all the patients, the sleral-choroidal-retinal tear was blocked. In the long-term (1-24 months) period, no recurrent depressurization of the eyeball wall. In 2 patients the healing was accompanied by the rough chorioretinal scar formation and retinal duplicate in the scarring area. The visual acuity of the operated patients was 0.03-0.4.
The surgical treatment of the double perforating eye injury, accompanied by the retinal detachment, with the use of autologous conditioned plasma without laser coagulation of the retina, scleral suturing of the posterioer eye segment and additional scleroplasty is a method that allows to achive total scleral and chorioretinal repair and get a good anatomical and functional result.