ДИНАМИКА ИЗМЕНЕНИЯ ФУНКЦИОНАЛЬНЫХ ПОКАЗАТЕЛЕЙ ПАЦИЕНТОВ В ПЕРИОД ПОСЛЕ ВИТРЕОРЕТИНАЛЬНОЙ ХИРУРГИИ ПРИ РЕГМАТОГЕННОЙ ОТСЛОЙКИ СЕТЧАТКИ

Relevance. Rhegmatogenic retinal detachment (RRD) often leads to lifelong vision loss in 1 out of 100 cases, despite the high anatomical success of retinal restoration. Postoperative complications occur in 90% of cases and can negatively impact quality of life. To reduce the frequency of complications, the face-down position (FDP) after surgery has been proposed. Purpose of the study. To observe changes in the dynamics of increased intraocular pressure (IOP) in the period after vitreoretinal surgery with regmatogenic retinal detachment, to identify risk factors and groups. Materials and methods.A prospective clinical study was conducted with the participation of 200 patients divided into two groups: A (with silicone tamponade) and In the group (with gas tamponade). Patients were examined on the 1st, 10th, 30th and 90th days after surgery, including ophthalmological examination. Results and conclusion. On the 10th day, the main group showed an increase in IOP, compared with the B group. Persistent elevated intraocular pressure was also noted in the group on days 30 and 90. In the case of an increase in IOP, the cup was observed in patients who supported FDP as well as with hyphema. Secondary glaucoma was detected in 2 patients. Silicone oil emmulation was not detected in patients in group A. Patients in the group had previously experienced a decrease in intraocular pressure. Although cases associated with increased IOP were observed in a small number of patients, it was not long-lasting and quickly stabilized. However, in patients whose retina was tamponed with silicone oil, cases of increased IOP were observed much more often and had a prolonged character in patients of group A.

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