Choice of Surgical Treatment for Inferior Recurrences of Retinal Detachment under Silicon Oil Tamponade

Aim: to formulate an algorithm for choosing surgical treatment for inferior recurrence of retinal detachments (RD) in eyes under silicone tamponade depending on the stage of APVR.Materials and methods. This study included the results of surgical treatment of 114 patients with inferior recurrence of...

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Main Authors: T. N. Shevalova, A. N. Kulikov, S. V. Churashov
Format: Article
Language:Russian
Published: Ophthalmology Publishing Group 2025-06-01
Series:Oftalʹmologiâ
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Online Access:https://www.ophthalmojournal.com/opht/article/view/2659
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author T. N. Shevalova
A. N. Kulikov
S. V. Churashov
author_facet T. N. Shevalova
A. N. Kulikov
S. V. Churashov
author_sort T. N. Shevalova
collection DOAJ
description Aim: to formulate an algorithm for choosing surgical treatment for inferior recurrence of retinal detachments (RD) in eyes under silicone tamponade depending on the stage of APVR.Materials and methods. This study included the results of surgical treatment of 114 patients with inferior recurrence of RD under silicone tamponade of the vitreous cavity with APVR. Patients were divided into three groups depending on the stage of APVR and into six subgroups depending on the tactics of surgical treatment. The main criteria are achieving anatomical success rate and improving visual outcomes were compared postoperatively.Results. An algorithm for choosing surgical treatment for inferior recurrences of RD under silicone tamponade has been formulated depending on the stage of PPVR: at the initial stage of PPVR — performing only scleral buckling (SB); at an advanced stage of PPVR — performing vitreoretinal surgery in combination with SB; at an advanced stage of PPVR — performing vitreoretinal surgery in combination with retinotomy and short-term postoperative tamponade of the perfluorocarbon liquids.Conclusion. The created algorithm for choosing surgical intervention for inferior recurrences of RRD complicated by PPVR, under silicon oil tamponade depending on the stage of PPVR, allows to improve the anatomical and functional results of treatment.
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spelling doaj-art-e38dec458abb4b0abff6902b64206c972025-08-20T03:01:53ZrusOphthalmology Publishing GroupOftalʹmologiâ1816-50952500-08452025-06-0122232533210.18008/1816-5095-2025-2-325-3321263Choice of Surgical Treatment for Inferior Recurrences of Retinal Detachment under Silicon Oil TamponadeT. N. Shevalova0A. N. Kulikov1S. V. Churashov2Military Medical AcademyMilitary Medical AcademyMilitary Medical AcademyAim: to formulate an algorithm for choosing surgical treatment for inferior recurrence of retinal detachments (RD) in eyes under silicone tamponade depending on the stage of APVR.Materials and methods. This study included the results of surgical treatment of 114 patients with inferior recurrence of RD under silicone tamponade of the vitreous cavity with APVR. Patients were divided into three groups depending on the stage of APVR and into six subgroups depending on the tactics of surgical treatment. The main criteria are achieving anatomical success rate and improving visual outcomes were compared postoperatively.Results. An algorithm for choosing surgical treatment for inferior recurrences of RD under silicone tamponade has been formulated depending on the stage of PPVR: at the initial stage of PPVR — performing only scleral buckling (SB); at an advanced stage of PPVR — performing vitreoretinal surgery in combination with SB; at an advanced stage of PPVR — performing vitreoretinal surgery in combination with retinotomy and short-term postoperative tamponade of the perfluorocarbon liquids.Conclusion. The created algorithm for choosing surgical intervention for inferior recurrences of RRD complicated by PPVR, under silicon oil tamponade depending on the stage of PPVR, allows to improve the anatomical and functional results of treatment.https://www.ophthalmojournal.com/opht/article/view/2659recurrence of rhegmatogenous retinal detachmentretinotomyvitreoretinal surgerysilicone tamponadeadvanced stage of proliferative vitreoretinopathyperfluorocarbon liquidscleral buckling
spellingShingle T. N. Shevalova
A. N. Kulikov
S. V. Churashov
Choice of Surgical Treatment for Inferior Recurrences of Retinal Detachment under Silicon Oil Tamponade
Oftalʹmologiâ
recurrence of rhegmatogenous retinal detachment
retinotomy
vitreoretinal surgery
silicone tamponade
advanced stage of proliferative vitreoretinopathy
perfluorocarbon liquid
scleral buckling
title Choice of Surgical Treatment for Inferior Recurrences of Retinal Detachment under Silicon Oil Tamponade
title_full Choice of Surgical Treatment for Inferior Recurrences of Retinal Detachment under Silicon Oil Tamponade
title_fullStr Choice of Surgical Treatment for Inferior Recurrences of Retinal Detachment under Silicon Oil Tamponade
title_full_unstemmed Choice of Surgical Treatment for Inferior Recurrences of Retinal Detachment under Silicon Oil Tamponade
title_short Choice of Surgical Treatment for Inferior Recurrences of Retinal Detachment under Silicon Oil Tamponade
title_sort choice of surgical treatment for inferior recurrences of retinal detachment under silicon oil tamponade
topic recurrence of rhegmatogenous retinal detachment
retinotomy
vitreoretinal surgery
silicone tamponade
advanced stage of proliferative vitreoretinopathy
perfluorocarbon liquid
scleral buckling
url https://www.ophthalmojournal.com/opht/article/view/2659
work_keys_str_mv AT tnshevalova choiceofsurgicaltreatmentforinferiorrecurrencesofretinaldetachmentundersiliconoiltamponade
AT ankulikov choiceofsurgicaltreatmentforinferiorrecurrencesofretinaldetachmentundersiliconoiltamponade
AT svchurashov choiceofsurgicaltreatmentforinferiorrecurrencesofretinaldetachmentundersiliconoiltamponade