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Natural non-operational current of symptomatic vitreomacular adhesions

Session Details

Session Title: Vitreoretinal Surgery I

Session Date/Time: Thursday 26/09/2013 | 11:00-12:30

Paper Time: 11:32

Venue: Hall 3 (Level 0)

First Author: S.Vadim RUSSIA

Co Author(s):    M. Vladimir              

Abstract Details


The work purpose: to study dynamics of symptomatic vitreomacular adhesions (SVМА) at the patients who have not received surgical treatment.


The Samara state medical university, Samara, Russia


Non-operational current of SVMA at 110 patients by whom for various reasons was not executed surgical treatments is studied. Local SVMA is diagnosed for 55 patients, poured SVMA, practically on all macular area, - at 55 patients. For all patients clinical supervision with OCT diagnostics has been established. Supervision terms have made from 3 months till 2 years.


Independent detachment of posterior hyaloids membranes was diagnosed at 4 (3,6 %) patients with local SVMA that has led to elimination of vitreomacular traction and to improvement of vitreomacular interface. At 106 (96,4 %) patients negative dynamics with formation of macular holes (38, 36 %) or lamellar (13, 12 %) macular holes, epimacular fibroses (55, 52 %) with formation small cavities, increase of a retinal hypostasis is noted.


At local SVMA probably independent detachment of posterior hyaloids membranes, restoration of macular profile of a retina and clinical recurrences was observed at 3,6 % of our patients. 2. At 96,4 % of patients vitreomacular adhesion had negative dynamics and has led to formation macular holes and lamellar macular holes, to development of epimacular fibroses, to increase of a retinal hypostasis.

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