КОМБИНИРОВАННОЕ ЛЕЧЕНИЕ МАКУЛЯРНОГО ОТЕКА ПРИ ПОСТТРОМБОТИЧЕСКОЙ РЕТИНОПАТИИ

Relevance. Currently, thanks to the development of laser technologies in ophthalmology, there is an active introduction of various methods of subthreshold laser exposure in retinal diseases, including post-thrombotic retinopathy. Purpose. To study the effectiveness of the method of combined treatment of macular edema as a result of post-thrombotic retinopathy (PTR) using subthreshold laser exposure. Material and methods. Under supervision there were 18 patients (19 eyes) with PTR. Patients were divided into 2 gender- and age-homogeneous representative study groups: in the first study group (n=9, 9 eyes), patients received combined treatment using anti-VEGF therapy and subthreshold diode micropulse laser exposure using a 577NM yellow diode laser, the second comparative group (n=9, 10 eyes) patients were treated only with anti-VEGF therapy. Results. Within the indicated periods, patients of the study group showed positive dynamics in all studied functional and morphometric parameters. Laser treatment made it possible to stabilize the state of the retina after preliminary antiangiogenic therapy using micropulse laser exposure as well as to reduce the risk of neovascular complications using continuous laser exposure. Conclusion. The results of the study show that combined treatment, including subthreshold micropulse laser exposure, is quite effective and safe in cases of macular edema in post-thrombotic retinopathy.

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