Comparative analysis of optical coherence tomography data in recurrent macular rupture after using various techniques for its blocking
Purpose. To assess the morphological parameters of the central retina in different groups with unblocked macular rupture after primary surgery for macular rupture (MR). Material and methods. This study involved 32 patients (35 eyes), including 19 women, 13 men. 3 groups were formed according to the principle of primary surgery. All patients underwent standard ophthalmological examinations, as well as optical coherence tomography (OCT). Results. According to OCT data, the morphological and functional parameters were different depending on the primary method of surgical treatment. The diameter of the MR along the large and small radius is the biggest in the 3rd group. The area of edema in the analysis of various methods of surgical treatment did not differ statistically. Conclusion. The functional parameters of the central part of the retina do not depend on the initial method of surgical intervention. The use of mechanical action on the retina causes rigidity of the edges of the macular rupture, and when using an introverted flap, the small and large diameters of the macular rupture remain minimal, in contrast to the use of platelet mass and mechanical closure of the MR. Key words: macular hole, platelet rich mass, introverted flap, mechanical closure, rigid.