First Author: A.Iakimov RUSSIA
Co Author(s): V. Zaika 0 0 0 0 0 0 0 0 0
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To develop a methodology of rehabilitation of patients with severe post-traumatic pathology of anterior and posterior segment of the eye.
Irkutsk Branch of Sv. Fyodorov Eye Microsurgery Federal State Institution, Russia
A patient of 76 years, the only functional eye. Severe contusion 1 year ago. Visual acuity at first visit – correct light projection. Ocular adnexum - unremarkable. Postoperative ophthalmological status: cornea is transparent, anterior chamber is partially filled with vitreous, a pupil of 8 mm, no reaction (traumatic mydriasis), fibrosis, vitreous proliferations, lens is blurred and tightly adherent to the retina in the macular and optic disc area. Retina is totally detached in the form of a funnel, proliferative vitreoretinopathy D. stage. Surgery: Primary posterior vitrectomy 25G, lens extraction from fibrous bag, filling of vitreous cavity by perfluorodecaline, phacoemulsification without IOL implantation, membrane pilling, retinotomy, retinectomy, endolasercoagulation, closed iridoplasty, replacement of perfluorodecaline by silicon in 1300 sts.
The complete retinal reattachment was achieved. Visual acuity was 0.01.
The proposed combined approach to treatment of severe posttraumatic pathology allows achieving the satisfactory functional results.