Efficacy of bimanual surgical treatment of retinal detachment in severe forms of proliferative diabetic retinopathy with preoperative preparation with anti-vegf drugs in combination with the use of 3d imaging system

    

    Abstract

    Efficacy of bimanual surgical treatment of retinal detachment in severe forms of proliferative diabetic retinopathy with preoperative preparation with anti-vegf drugs in combination with the use of 3d imaging system

    Chernykh D.V.

    The S. Fyodorov Eye Microsurgery Federal State Institution, Novosibirsk Branch, Novosibirsk

    As a result of the study, it was found that visual acuity before the treatment was 0.03 [0.01; 0.1], and 4–6 months after the surgical treatment, 0.3 [0.15; 0.5]. The performed statistical analysis made it possible to establish a statistically significant increase in visual acuity 4–6 months after the treatment (p = 0.001) Complete anatomical retinal attachment with increased visual acuity was achieved. There were 5 complications in the postoperative period. Recurrent hemophthalmos was diagnosed in 3 cases, which required repeated surgical intervention. In 2 patients diabetic macular edema (DME) has developed, which required intravitreal injection of biodegradable dexamethasone implant.

    Key words: proliferative diabetic retinopathy; vitrectomy; 3D imaging; bimanual surgery; anti-VEGF drugs.