| Title |
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| Experience with various types of treatment for inferior long-standing rhegmatogenous retinal detachments |
| Authors |
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| Anna Rusanovskaia |
| Presenting |
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| Anna Rusanovskaia |
| PURPOSE: |
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| To evaluate the efficacy of different surgical approaches for the treatment of long‑standing inferior rhegmatogenous retinal detachments, considering the severity of proliferative changes and the condition of ocular media. |
| METHODS: |
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| Three surgical techniques were applied depending on the severity of proliferative changes and the state of ocular media: 1. Episcleral sectoral buckling (using a shandelier for illumination and a standard wide‑angle visualization system) — in patients with transparent ocular media. 2. Subtotal vitrectomy, removal of epi/subretinal membranes, inferior retinotomy (if necessary), and gas tamponade with C3F8 — in patients with impaired media transparency. 3. Subtotal vitrectomy, removal of epi/subretinal membranes, inferior retinotomy (if necessary), and silicone tamponade — in selected cases with impaired media transparency. The study included 24 patients divided into two groups: Group 1 (14 patients) and Group 2 (10 patients with impaired media transparency). |
| RESULTS: |
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| * In Group 1, 13 out of 14 patients achieved complete retinal reattachment; 1 patient had partial reattachment with a local detachment around the buckle due to a subretinal strand. * In Group 2, 7 patients underwent vitrectomy with C3F8 gas tamponade and 3 patients underwent vitrectomy with silicone tamponade. No recurrences were observed during the minimum follow‑up period of 1 year. |
| CONCLUSIONS: |
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| * a potential expansion of indications for episcleral surgery, even in cases with subretinal membranes and retinal cysts, as it provides the most stable visual and proliferative outcomes; * the feasibility of extending the use of gas tamponade (vs. silicone) in cases of impaired media transparency, offering several advantages over silicone tamponade. |