Demographic and clinical characteristics and effectiveness of treatment of patients with combined ocular pathologies by vitrectomy due to retinal detachment

Автор(и)

  • G.M. Ismailov Azerbaijan State Medical Institute named after A.Aliyev A., Gasimzade str., 14, Baku, Az1000, Азербайджан

DOI:

https://doi.org/10.26641/2307-0404.2024.3.313666

Ключові слова:

retinal detachment, vitrectomy, ocular pathology, demography

Анотація

Purpose – to evaluate the demographic and clinical characteristics and treatment efficiency of patients by vitrectomy due to retinal detachment against the background of combined eye pathologies. The observation was conducted in the Clinic of Educational Surgery of the Azerbaijan State Medical Institute named after A. Aliyev. The case histories of 500 patients diagnosed with retinal detachment against the background of combined eye pathologies were studied by random sampling, 197 of whom underwent vitrectomy. Data on the demographic and clinical characteristics of these patients were collected. Before the operation, visual acuity and intraocular pressure were assessed. Information on registered complications after the operation, the results of optical coherence tomography on day 10 after treatment, as well as visual acuity indicators were provided for in the observation program and obtained in a standard manner for all patients. The obtained results were processed statistically using the "data analysis" package of the Excel program. The collected data were grouped by variants of features, the specific weight of each group and subgroup in the aggregate was calculated. The obtained data showed that in 197 (34.9±2.2%) patients with retinal detachment against the background of combined pathologies who underwent vitrectomy, the gender difference was not significant. The overwhelming majority of patients were admitted for treatment with a great delay. Basically, combined pathologies of the cornea (16.2%), lens (45.2%) and vitreous body (5.3%) prevailed. Combined eye pathologies in patients with retinal detachment during vitrectomy are often complicated by choroidal rupture (4.1%), increased intraocular pressure (7.6%), diplopia (3.6%), hemophthalmos (2.5%) and cataract (22.8%). The main etiologic factors of retinal detachment against the background of combined eye pathologies are myopia (50.3%), eye injuries (30.9%).

Посилання

Sindal MD, Gondhale HP, Srivastav K. Clinical profile: and outcomes of rhegmatogenous retinal deta-chment related to trauma in pediatric population. Can J Ophthalmol. 2021;56(4):231-6. doi: https://doi.org/10.1016/j.jcjo.2020.12.001

Lakshmi J, Faraz J, Reddy L. Clinical profile of patients presenting with rhegmatogenous retinal deta-chment. Med Pulse International Journal of Ophthalmology. 2017;3(3):87-91. doi: https://doi.org/10.26611/10093311

Awan MA, Hussain Z, Shaheen ZS, et al. Efficacy and safety profile of 25-Gauge Pars Plana vitrectomy in rhegmatogenous retinal detachment in Pakistan: A multicenter retrospective study. Cureus. 2022 Mar 24;14(3):23437. doi: https://doi.org/10.7759/cureus.23437

Sung J, Lee M, Won Y, et al. Clinical characteristics and prognosis of total rhegmatogenous retinal detachment: a matched case-control Study. BMC Ophthalmology. 2020;20:286. doi: https://doi.org/10.1186/s12886-020-01560-4

Shchukin AD. Modern extrascleral surgery in the treatment of rhegmatogenous retinal detachment: assessment of the effectiveness of application and functional results. Ophthalmological Bulletin. 2019;12(4):23-8. doi: https://doi.org/10.17816/OV18780

Arevalo F, Ong S, Sulaiman M. Retinal detachment: Vitrectomy, bucle, or both? Retina today. 2022;April:17-78.

Zgolli H, Mabrouk S, Khayrallah O. Prognostic factors for visual recovery in idiopathic rhegmatogenous retinal detachment: a prospective Study of 90 patients. La Tunisie Medicale. 2021;99(10):972-9. PMID: 35288898. PMCID: PMC8972183.

Chang JS, Smiddy W. Cost-effectivenes of retinal detachment repair. Ophthalmology. 2014;12(4):946-51. doi: https://doi.org/10.1016/j.ophtha.2013.11.003

Liao L, Zhy X. Advances in the treatment of rhegmatogenous retinal detachment. Int J Ophthalmology. 2019;12(4):660-7. doi: https://doi.org/10.18240/ijo.2019.04.22

Lv Z, Li Y, Wu Y. Surgical complications of primary rhegmatogenous retinal detachment: a meta-analysis. PLOS ONE. 2015;10(3):0116493. doi: https://doi.org/10.1371/journal.pone.0116493

Bai Y, Song Q, Liu J. Vitrectomy for complicated retinal detachment without the use of perfluorocarbon liquid: a real-word date and retrospective study. Opthalmol Ther. 2022;11:857-68. doi: https://doi.org/10.1007/s40123-022-00479-x

##submission.downloads##

Опубліковано

2024-10-16

Як цитувати

1.
Ismailov G. Demographic and clinical characteristics and effectiveness of treatment of patients with combined ocular pathologies by vitrectomy due to retinal detachment. Med. perspekt. [інтернет]. 16, Жовтень 2024 [цит. за 05, Листопад 2024];29(3):162-6. доступний у: https://journals.uran.ua/index.php/2307-0404/article/view/313666

Номер

Розділ

КЛІНІЧНА МЕДИЦИНА