Macula-off retinal detachment: struggle for best visual acuity. Part 2

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The second part of the review discusses the factors affecting best corrected visual acuity in patients with macula-off rhegmatogenous retinal detachment as determined using optical coherence tomography, and the role of optical coherence tomography angiography in assessing the parameters of the foveal avascular zone and quantifying vessel density and macular capillary perfusion density. It highlights the important problem of complications after anatomically successful surgery of macula-off rhegmatogenous retinal detachment, which directly impact visual acuity. The review analyzes the effect of a tamponade agent for vitrectomy on best corrected visual acuity, provides Russian studies of new hyaluronic acid-based tamponade agents, and discusses postoperative conservative therapy and its future prospects. A total of 48 publications from the Pubmed database from 1937 to 2021 were reviewed. Comprehensive pre- and postoperative examination and follow-up of patients with macula-off rhegmatogenous retinal detachment allowed achieving higher best corrected visual acuity and greater patient satisfaction with surgery outcomes.

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作者简介

Rinat Fayzrakhmanov

Pirogov National Medical and Surgical Center

Email: rinatrf@gmail.com
ORCID iD: 0000-0002-4341-3572
SPIN 代码: 1620-0083

MD, Dr. Sci. (Medicine)

俄罗斯联邦, Moscow

Valeriia Klev

Pirogov National Medical and Surgical Center

编辑信件的主要联系方式.
Email: klevvs@yandex.ru
ORCID iD: 0000-0001-6428-4733

MD

俄罗斯联邦, Moscow

Mikhail Shishkin

Pirogov National Medical and Surgical Center

Email: michail.shishkin@yahoo.com
ORCID iD: 0000-0002-5917-6153

MD, Dr. Sci. (Medicine), Professor

俄罗斯联邦, Moscow

Oleg Pavlovsky

Pirogov National Medical and Surgical Center

Email: olegpavlovskiy@yandex.ru
ORCID iD: 0000-0003-3470-6282
SPIN 代码: 6781-1504

MD, Cand. Sci. (Medicine)

俄罗斯联邦, Moscow

Olga Sekhina

Pirogov National Medical and Surgical Center

Email: sekhina.ol@mail.ru
ORCID iD: 0000-0002-1499-1787
SPIN 代码: 1618-3996

MD

俄罗斯联邦, Moscow

Elena Vaganova

Pirogov National Medical and Surgical Center

Email: vaganova.e.e@gmail.com
ORCID iD: 0000-0003-2234-0914
SPIN 代码: 5881-8822

MD

俄罗斯联邦, Moscow

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