First Author: V.Zaika RUSSIA
Co Author(s): A. Iakimov T. Iureva 0 0 0 0 0 0 0 0 0
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To examine the initial state of the visual system in patients with retinal detachment; and to identify predictors that determine the rate and quality of visual function recovery after surgery, using multivariate methods of mathematical analysis.
Irkutsk Branch of Sv. Fyodorov Eye Microsurgery Federal State Institution, Russia
35 patients (35 eyes) with rhegmatogenous retinal detachment at the age from 26 to 65 years were keeping under observation. All patients had subtotal and total retinal detachment with the full involvement of the macular area, with one or more ruptures. The duration of the retinal detachment ranged from 3 weeks to 1.5 months. Comprehensive study of the visual system and initial reactivity of organism in retinal detachment was conducted. The study included a set of 82 indices of ophthalmic, somatic and humoral status. All patients were operated by scleral circular buckling. In 1 month after surgery they were divided into 2 groups according to achieved functional outcomes. A multivariate discriminant analysis of patient’s initial status was made in the comparison groups.
A set of features that determines the rate and extent of visual recovery at different stages of the postoperative period was revealed.
Using of initial set of structural and functional parameters of the visual system and homeostasis allows predicting functional outcome with a high probability after surgical treatment of rhegmatogenous retinal detachment. This, in turn, determines the further tactics of rehabilitation, which vector should be directed to the identified changes to the original state of the visual system as possible predictors characterizing postoperative processes of sanogenesis.