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УДК: | DOI: https://doi.org/10.25276/2312-4911-2021-3-9-14 |
T.A. Avanesova, V.V. Anisimova
Clinical characteristics and surgical outcomes of rhegmatogenous retinal detachment in patients ages 18-40 years
"Центральная клиническая больница с поликлиникой" Управления делами Президента Российской Федерации
Воронежский государственный медицинский университет имени Н. Н. Бурденко Минздрава России
Abstract
Clinical characteristics and surgical outcomes of rhegmatogenous retinal detachment in patients ages 18-40 years
T.A. Avanesova, V.V. Anisimova
Central Clinical Hospital with polyclinic of the Presidential Administration of the Russian Federation, Ophthalmology department
Voronezh State Medical University named after N.N. Burdenko, Voronezh
The risk of rhegmatogenous retinal detachment (RRD) increases with age and its more common in the older age group, but several studies report a secondary peak of RRD in young patients. At the same time, RRD in young patients has clinical features.
Purpose. To describe clinical features and surgical outcomes of RRD in young adults.
Materials and мethods. Retrospective study of 33 patients (33 eyes) aged between 18 and 40 years, who underwent primary surgery between June 2018 and February 2021. The mean age of the patients was 33.9±6.7 years.
All patients underwent either scleral buckling or pars plana vitrectomy. We analyzed demographic data, RRD characteristics, primary and final anatomic anatomic success rate and best-corrected visual acuity (BCVA) at the conclusion of follow-up.
Results. The main etiologies were myopia (87.8%) and trauma (15%). were Macula on RRD was in 69.7% of patients. Primary anatomic success was in 69.7% cases, final anatomic success- 94%. (14 out of 16 eyes) after vitrectomy. The mean BCVA value improved to 0.65±0.35 (p=0.042).
Conclusion. RRD in young adults aged between 18 and 40 years has clinical features and differs from that in older adults. The main causes are myopia, especially of high myopia and trauma. Macula off RRD is less common than macula on RRD. Primary anatomic success is less favorable compared to final anatomic success. The functional prognosis remains satisfactory and increased to 0.65±0.35 (p=0.042).
Keywords: rhegmatogenous retinal detachment, myopia, young patients, scleral buckling, vitrectomy, primary surgical success, final anatomical success.
Страница источника: 9-14
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Офтальмологические клиники, производители и поставщики оборудования
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