Mechanisms of the therapeutic effect of platelet-rich plasma in macular hole surgery

Purpose: to describe the mechanisms of the therapeutic effect of platelet-rich plasma (PRP) components on the retina in macular hole (MH) surgery. Material and methods. The results of autologous PRP use in 36 cases of surgical treatment of eyes with idiopathic full-thickness MH sized 96 to 932 mm (a...

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Main Authors: N. S. Demchenko, A. Yu. Kleimenov, V. N. Kazaykin
Format: Article
Language:Russian
Published: Real Time Ltd 2023-03-01
Series:Российский офтальмологический журнал
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Online Access:https://roj.igb.ru/jour/article/view/1163
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author N. S. Demchenko
A. Yu. Kleimenov
V. N. Kazaykin
author_facet N. S. Demchenko
A. Yu. Kleimenov
V. N. Kazaykin
author_sort N. S. Demchenko
collection DOAJ
description Purpose: to describe the mechanisms of the therapeutic effect of platelet-rich plasma (PRP) components on the retina in macular hole (MH) surgery. Material and methods. The results of autologous PRP use in 36 cases of surgical treatment of eyes with idiopathic full-thickness MH sized 96 to 932 mm (ave. 546.4 ± 49.8 mm) are presented. Corrected visual acuity before surgery was 0.04 to 0.2 (0.09 ± 0.01). The quantity of cell elements in PRP fractions was determined using a hematological analyzer Sysmex XS-500i (Germany). Results: 2 months after the operation, all retinal layers in the MH area were found to restore in all patients, who showed an increase in visual acuity to 0.2–0.6 (0.40 ± 0.04). 35 patients (97 %) had no MH relapse over the 6-month post-surgery period. A technique was proposed to evaluate the quality of PRP by the presence of large platelets. The mechanisms of the therapeutic effect of PRP components on the retina were presented. Conclusion. The collection of data on the effectiveness of PRP components is instrumental in planning its wider use in the treatment of degenerative, infectious, post-traumatic and other disorders of eye structures. The evaluation of PRP quality by the content of functionally active platelets will also contribute to more effective PRP use in ophthalmology.
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issn 2072-0076
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series Российский офтальмологический журнал
spelling doaj-art-0203f0daedc143d5b8c2bf5fbe4055702025-08-20T03:39:28ZrusReal Time LtdРоссийский офтальмологический журнал2072-00762587-57602023-03-01161222810.21516/2072-0076-2023-16-1-22-28543Mechanisms of the therapeutic effect of platelet-rich plasma in macular hole surgeryN. S. Demchenko0A. Yu. Kleimenov1V. N. Kazaykin2Ekaterinburg Eye Microsurgery CenterEkaterinburg Eye Microsurgery CenterEkaterinburg Eye Microsurgery CenterPurpose: to describe the mechanisms of the therapeutic effect of platelet-rich plasma (PRP) components on the retina in macular hole (MH) surgery. Material and methods. The results of autologous PRP use in 36 cases of surgical treatment of eyes with idiopathic full-thickness MH sized 96 to 932 mm (ave. 546.4 ± 49.8 mm) are presented. Corrected visual acuity before surgery was 0.04 to 0.2 (0.09 ± 0.01). The quantity of cell elements in PRP fractions was determined using a hematological analyzer Sysmex XS-500i (Germany). Results: 2 months after the operation, all retinal layers in the MH area were found to restore in all patients, who showed an increase in visual acuity to 0.2–0.6 (0.40 ± 0.04). 35 patients (97 %) had no MH relapse over the 6-month post-surgery period. A technique was proposed to evaluate the quality of PRP by the presence of large platelets. The mechanisms of the therapeutic effect of PRP components on the retina were presented. Conclusion. The collection of data on the effectiveness of PRP components is instrumental in planning its wider use in the treatment of degenerative, infectious, post-traumatic and other disorders of eye structures. The evaluation of PRP quality by the content of functionally active platelets will also contribute to more effective PRP use in ophthalmology.https://roj.igb.ru/jour/article/view/1163macular holeplatelet-rich plasma
spellingShingle N. S. Demchenko
A. Yu. Kleimenov
V. N. Kazaykin
Mechanisms of the therapeutic effect of platelet-rich plasma in macular hole surgery
Российский офтальмологический журнал
macular hole
platelet-rich plasma
title Mechanisms of the therapeutic effect of platelet-rich plasma in macular hole surgery
title_full Mechanisms of the therapeutic effect of platelet-rich plasma in macular hole surgery
title_fullStr Mechanisms of the therapeutic effect of platelet-rich plasma in macular hole surgery
title_full_unstemmed Mechanisms of the therapeutic effect of platelet-rich plasma in macular hole surgery
title_short Mechanisms of the therapeutic effect of platelet-rich plasma in macular hole surgery
title_sort mechanisms of the therapeutic effect of platelet rich plasma in macular hole surgery
topic macular hole
platelet-rich plasma
url https://roj.igb.ru/jour/article/view/1163
work_keys_str_mv AT nsdemchenko mechanismsofthetherapeuticeffectofplateletrichplasmainmacularholesurgery
AT ayukleimenov mechanismsofthetherapeuticeffectofplateletrichplasmainmacularholesurgery
AT vnkazaykin mechanismsofthetherapeuticeffectofplateletrichplasmainmacularholesurgery