CONDITION OF THE CENTRAL ZONE OF THE RETINA AFTER Nd:YAG-LASER VITREOLYSIS OF THE MIDDLE VITREOUS ACCORDING TO OPTICAL COHERENCE TOMOGRAPHY IN PATIENTS WITH ARTIFHAKIA
Abstract
Research purpose. To define security of Nd:YAG laser median vitreolizis for the central departments of retina at patients with artifakiya in the postoperative period. Material and methods. YAG-laser median vitreolizis it is carried out to 38 patients (38 eyes) at the age of 62–78 years in connection with different types of pomutneniye of vitreous body which carried out fakoemulsifikation of age cataract with implantation of IOL earlier. Results. Druzes of membrane of Bruch (84.1%) most often occur among changes of retina. At the same time "firm" druzes met more often "soft" for 10%. While local, dot defects of pigmental epithelium have been revealed much more less than druzes of membrane of Bruch. The revealed changes of a retina remained invariable after carrying out a median vitreolizis within 3 months. Retina thickness in the field of fove before laser vitreolizis was 215.4±10.5 mkm, and 3 months later 219.1±14.1мкм. In parafove retina thickness before transaction reached 291.6±17.4 mkm, and the postoperative period did not exceed 298.4±16.4 microns. And in perifovealny departments it made 215.2±16.4 microns and 221.3±20.5мкм respectively. In all cases of change are statistically not reliable (р ≥0,05). Conclusions. After carrying out Nd:YAG-laser median vitreolizis by standard technique and in the range of power of laser radiation established by us it is not revealed statistically significant changes as retina thickness, so its structural changes in various departments of its central area.
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