Comparative analysis of vitreofoveolar traction syndrome surgical treatment

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Abstract


This article focuses on the surgical treatment of the vitreomacular traction ( VMT) syndrome comparing vitrectomy with and without internal limiting membrane (ILM) removal. Patients were randomly divided into 2 groups. In the 1st group, the procedure was performed without the ILM removal. In the 2nd group, the surgery was performed with perifoveolar ILM removal. A comparative analysis revealed that an anatomical result was reached in both groups, but in the 1st group, the development of epiretinal fibrosis was observed in 35 % of the cases in the late postoperative period; and this was not observed in the 2nd group. Visual function recovery was faster in the 1st group, but at 1 year visit, data from both groups were comparable. Thus, the treatment method with surgical ILM removal is preferable, due to more stable anatomical result.

About the authors

Dmitriy Olegovich Shkvorchenko

Svyatoslav Fyodorov State Institution Eye Microsurgery Complex

Email: shkvor@mail.ru
candidate of medical sciences, deputy Chief of the medical unit

Valeriy Dmitriyevich Zakharov

Svyatoslav Fyodorov State Institution Eye Microsurgery Complex

Email: nauka@mntk.ru
candidate of medical sciences, deputy Chief of the medical unit

Anna Vladimirovna Rusanovskaya

Svyatoslav Fyodorov State Institution Eye Microsurgery Complex

Email: anna.rusanovskay@gmail.com
postgraduate student

Yelena Vladimirovna Belousova

Svyatoslav Fyodorov State Institution Eye Microsurgery Complex

Email: elena.belousova26.08@mail.ru
postgraduate student

Svetlana Aleksandrovna Kakunina

Svyatoslav Fyodorov State Institution Eye Microsurgery Complex

Email: svetlan-al@mail.ru
candidate of medical sciences, researcher

Tamara Sergeyevna Mironova

Svyatoslav Fyodorov State Institution Eye Microsurgery Complex

Email: mironova_tamara@inbox.ru
ophthalmologist

Viktoriya Adilyevna Pismenskaya

Svyatoslav Fyodorov State Institution Eye Microsurgery Complex

Email: v.pismenskaya@gmail.com
junior researcher

Kirill Sergeyevich Norman

Svyatoslav Fyodorov State Institution Eye Microsurgery Complex

Email: norman2011@yandex.ru
junior researcher

References

  1. Байбородов Я. В. 27G-хирургия первой стадии макулярных разрывов без витрэктомии. В кн.: Сборник тезисов «Федоровские чтения - 2011» IX Всероссийская научно-практическая конференция с международным участием; 2011.
  2. Стебнев В. С., Малов В. М. Симптоматическая витреомакулярная адгезия: варианты естественного безоперационного течения. В кн.: Современные технологии лечения витреоретинальной патологии. М.; 2013: 178-180.
  3. Bottos J., Elizalde J. Vitreomacular traction syndrome. J. Ophthalmic Vis Res. 2012; 7 (2): 148-161.
  4. Donald M. Gass. Reappraisal of Biomicroscopic Classification of Stages of Development of a Macular Hole./ American Journal of Ophthhalmology. 1995; 119: 752-759.
  5. Duker J. S., Kaiser P. K., Binder S., Gaudric A., Reichel E. The international vitreomacular traction study group classification of vitreomacular adhesion, traction, and macular hole. Ophthalmology. 2013; 120 (12): 2611-9.
  6. Johnson M. W. Perifoveal vitreous detachment and its macular complications. Trans. Am. Ophthalmol Soc. 2005; 103: 537-567.
  7. Niranjan K., Jamal K., Khalid S. Partial-thickness macular hole in traction syndrome: a case report the literature. Journal of Medical Case Reports. 2010; 4: 7-12.
  8. Taiichi Hikichi, Akitoshi Yoshida, Jun Akiba, Clement L. Trempe. Natural outcomes of stage 1, 2, 3, and 4 idiopathic macular holes.British Journal of Ophthalmology. 1995; 79: 517-520.
  9. Steel D., Lotery A. Idiopathic vitreomacular traction and macular hole: a comprehensive review of pathophysiology, diagnosis, and treatment. Eye. 2013; 27: 1-21.

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Copyright (c) 2014 Shkvorchenko D.O., Zakharov V.D., Rusanovskaya A.V., Belousova Y.V., Kakunina S.A., Mironova T.S., Pismenskaya V.A., Norman K.S.

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