https://doi.org/10.31288/oftalmolzh201441922

Perfection of surgical treatment of patients with posttraumatic ciliochorionic detachment

Chudnyavtseva N. A., Rodina Yu. N., Kovalchuk A. G.

State Institution The Filatov Institute of Eye Diseases and Tissue Therapy of the NAMS of Ukraine, Odessa, (Ukraine)

Introduction. Posttraumatic ciliochorionic detachment is one of the most severe complications of the eye trauma and in many cases it leads to development of sub-trophy and loss of the eye. Until now the surgical treatment of this pathology is not effective enough and requires further perfection.

Purpose. To develop and test the method of surgical elimination of ciliochorionic detachment after severe eye traumas allowing to exclude additional traumatization of the damaged eye structures and prevent development of complications using ultrasound scanning of high resolution.

Material and methods. The developed way of posttraumatic ciliochorionic detachment elimination by a closed method allows to perform surgical intervention without disturbing the eye hermetization. (Patent of Ukraine N76168 of22.12.2012). There were operated 3patients with severe eye traumas using the developed meth­od complicated by ciliochorionic detachment

Results. There were no intraoperative complications. After surgery there was diagnosed complete elimination of ciliochorionic detachment by using ultrasound scanning of high resolution in all cases; the patients had normalized intraocular pressure and size of the anterior-posterior axis of the eye.

Conclusions. The developed method allows to perform surgical intervention with-out the through section of the sclera and opening of the eyeball, which gives a pos-sibility to exclude additional trauma of the ocular structures, occurrence of sharp drop of the intraocular pressure and development of complications.

Key words: posttraumatic ciliochorionic detachment, surgical treBitment,ultrasound scanning   

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