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Retina amotio. Treatment

 There are some methods of treatment of amotio of a retina which all depend on detection and concealment of holes (disruptures) which were generated in a retina.

  • Cryopexy and the Laser Photocoagulation
    Treatment by a cold (freezing) and a laser photocoagulation is the treatment used to frame cicatrix/soldering around setchatochnogo holes, to interfere with that the fluid has arrived in a hole and has saved up behind a retina and excacerbating retina amotio. Cryopexy and a photocoagulation in general interchangable. However, cryopexy in general it is used in cases where there is a lot of fluid behind a hole; the laser retinopexy will not take
  • Skleralnaja fastener surgery
    Skleralnaja fastener surgery - the erected treatment, in which the eye surgeon sews one or more ligaments of silicone (ligament, the splint) to outside of an eyeball. Ligaments telescope an eye wall inside against setchatochnogo holes, closing a hole and allowing a retina again to be attached. Ligaments should not leave usually. The most blanket by-effect skleralnogo activities - mope-eyed change. The operated eye in general will be 3-5 diopters, closer seen after skleralnogo fastener activities
  • Pneumatic retinopexy
    This activity in general is carried out in an office of the doctor under local anesthesia. It is other method of restoration of amotio of a retina in which a gas bubble (SF6 or gas C3F8) is entered into an eye after the laser, or frozen treatment is imposed to surround setchatochnoe a hole. The head of the patient then is located so that the bubble has had a rest against setchatochnogo holes. To patients, possibly, it is necessary to store the heads canted during several days to store a gas bubble in contact with setchatochnym a hole. The superficial tension of an interior surface of air/water isolates a hole in a retina, and allows, that setchatochnyj a pigment epithelium to pump up podsetchatochnoe space dries and impedes a retina in a place. This strict demand of a locating does treatment setchatochnyh holes and units which meets in lower part of an impractical eyeball
  • Vitrektomija
    Vitrektomija - more and more widely used treatment for retina amotio in the countries with the up-to-date systems of public health services. It involves excision of vitreous gel and is usually united to filling of an eye with a gas bubble (SF6 or gas C3F8). Advantages of this activity consist that there is no mope-eyed change after activity. A disadvantage - that vitrektomija always leads to more prompt progession cataracts in the operated eye. Other main disadvantage of activity - that, should vitrektomii be unable work activity, recurrent amotio of a retina is much more serious to recover. Also, except for special cases, activity vitrektomii usually is not used as initial activity to try to recover rhegmatogenous retina amotio
  • Ignipuncture
    Ignipuncture - out-of-date procedure which involves a cauterization of a retina with very hot cuspate instrument. It was conducted and termed Jules Gonin in the beginning of 1900.
    After treatment patients gradually return the vision on perid weeks though visual acuteness cannot be so good as it was to unit, especially if maculae has been involved in unit field. However, if it is left raw, full blindness can meet within days


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