Risk identification of spontaneous hemophthalmis in patients with axial myopia

    Abstract

    Risk identification of spontaneous hemophthalmis in patients with axial myopia

    E.L. Sorokin, N.V. Samokhvalov

    The S. Foydorov Eye Microsurgery Federal state institution, Khabarovsk
Far Eastern State Medical University, Khabarovsk

    Purpose. To study the frequency and topographic features of vitreoretinal adhesion to retinal vessels in patients with axial myopia.

    Material and methods. Clinical material comprised 82 eyes (41 patients with axial myopia). All patients were divided into 3 groups by age category. The 1st group (18-44 years old) included 12 people (24 eyes); the 2nd group (45-59 years old) included 14 people (28 eyes); the 3rd group (60-74 years old) included 15 people (30 eyes). The entire patient population underwent ultrasound B-scanning of the vitreous cavity and optical coherence tomography of the zones of the main vascular arcades.

    Results. In 57 eyes (70%), there were various variants of the posterior vitreous detachment. Fixation of the posterior hyaloid membrane (PHM) in the region of the vascular branches of the posterior pole of the eye was detected in 13 eyes (16%).

    Conclusion. Among patients with axial myopia, a statistically significant increase in the frequency of local adhesion of PHM to the inner border membrane in the projection of large retinal vessels among elderly patients was revealed.

    Key words: posterior vitreous detachment, axial myopia, hemophthalmus, retinal vessels, vitreoretinal interface.