Retinal detachment with macular involvement: in the struggle for maximal visual acuity. Part 1

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Abstract

The problem of improving visual acuity and functional outcomes in the treatment of macula-off rhegmatogenous retinal detachment remains relevant today. There is still no unified classification of this disease, which complicates the analysis and comparability of data from scientific studies. The first part of the review presents various classification options for macula-off rhegmatogenous retinal detachment, based on optical coherence tomography data of the macula. It provides data from experimental studies in this area, examines perioperative factors affecting the maximum final visual acuity, and analyzes the impact of the timing of surgical treatment of rhegmatogenous retinal detachment involving the macular area on the final maximal corrected visual acuity. Macula-off retinal detachment requires immediate surgical intervention due to better functional outcomes when the duration of macular detachment does not exceed 7 days. Despite achieving anatomical success after surgery for retinal detachment, in cases of pronounced microstructural morphological changes in the macular area, the final visual acuity may remain unsatisfactory. When predicting final visual acuity, a comprehensive assessment of the morpho-functional state of the macular retina is important.

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About the authors

Rinat R. Fayzrakhmanov

Pirogov National Medical and Surgical Center

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

MD, Dr. Sci. (Medicine)

Russian Federation, 70 Nizhnyaya Pervomayskaya st., Moscow, 105203

Valeriya S. Klev

Pirogov National Medical and Surgical Center

Author for correspondence.
Email: klevvs@yandex.ru
ORCID iD: 0000-0001-6428-4733

MD

Russian Federation, 70 Nizhnyaya Pervomayskaya st., Moscow, 105203

Mikhail M. Shishkin

Pirogov National Medical and Surgical Center

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

MD, Dr. Sci. (Medicine), Professor

Russian Federation, 70 Nizhnyaya Pervomayskaya st., Moscow, 105203

Oleg A. Pavlovskiy

Pirogov National Medical and Surgical Center

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

MD, Cand. Sci. (Medicine)

Russian Federation, 70 Nizhnyaya Pervomayskaya st., Moscow, 105203

Olga L. Sekhina

Pirogov National Medical and Surgical Center

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

MD

Russian Federation, 70 Nizhnyaya Pervomayskaya st., Moscow, 105203

Elena E. Vaganova

Pirogov National Medical and Surgical Center

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

MD

Russian Federation, 70 Nizhnyaya Pervomayskaya st., Moscow, 105203

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