pirogovestnikВестник Национального медико-хирургического центра им. Н.И. ПироговаBulletin of Pirogov National Medical & Surgical Center2072-82552782-3628Национальный медико-хирургический Центр им. Н.И. Пирогова10.25881/20728255_2024_19_4_S1_29pirogovestnik-188Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИORIGINAL ARTICLESПИЛИНГ ВНУТРЕННЕЙ ПОГРАНИЧНОЙ МЕМБРАНЫ ПРИ РЕГМЕТОГЕННОЙ ОТСЛОЙКЕ СЕТЧАТКИ КАК ПРОФИЛАКТИКА ЭПИРЕТИНАЛЬНОЙ МЕМБРАНЫINTERNAL LIMITING MEMBRANE PEELING IN CASE OF RHEGMATOGENOUS RETINAL DETACHMENT AS A PREVENTIVE MEASURE FOR EPIRETINAL MEMBRANEКлевВ. С.KlevV. S.

Москва

Moscow 

klevvs@yandex.ruФайзрахмановР. Р.FayzrakhmanovR. R.

Москва

Moscow 

ШишкинМ. М.ShishkinM. M.

Москва

Moscow 

СехинаО. Л.SekhinaO. L.

Москва

Moscow 

ВагановаЕ. Е.VaganovaE. E.

Москва

Moscow 

ФГБУ «Национальный медико-хирургический Центр им. Н.И. Пирогова» Минздрава РоссииРоссияCenter ophthalmology National Medical and Surgical Center named after N.I. PirogovRussian FederationФГБУ «Национальный медико-хирургический Центр им. Н.И. Пирогова» Минздрава России; ИУВ ФГБУ «Национальный медико-хирургический Центр им. Н.И. Пирогова» Минздрава РоссииРоссияCenter ophthalmology National Medical and Surgical Center named after N.I. Pirogov; Department of eye diseases Institute of Advanced Training of Physicians N.I. Pirogov National Medical Surgical CenterRussian FederationФГБУ «Национальный медико-хирургический Центр им. Н.И. Пирогова» Минздрава России; ИУВ ФГБУ «Национальный медико-хирургический Центр им. Н.И. Пирогова» Минздрава РоссииРоссияCenter ophthalmology National Medical and Surgical Center named after N.I. Pirogov; Department of eye diseases Institute of Advanced Training of Physicians N.I. Pirogov National Medical Surgical CenterRussian FederationИУВ ФГБУ «Национальный медико-хирургический Центр им. Н.И. Пирогова» Минздрава РоссииРоссияDepartment of eye diseases Institute of Advanced Training of Physicians N.I. Pirogov National Medical Surgical CenterRussian Federation202413112024194приложение 12934Copyright © Клев В.С., Файзрахманов Р.Р., Шишкин М.М., Сехина О.Л., Ваганова Е.Е., 20242024Клев В.С., Файзрахманов Р.Р., Шишкин М.М., Сехина О.Л., Ваганова Е.Е.Klev V.S., Fayzrakhmanov R.R., Shishkin M.M., Sekhina O.L., Vaganova E.E.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://submit.pirogov-vestnik.ru/jour/article/view/188

В структуре первичной инвалидности по зрению регматогенная отслойка сетчатки (РОС) занимает одно из лидирующих мест. При этом большинство пациентов с РОС – это люди трудоспособного возраста.

За последние 50 лет хирургия отслойки сетчатки переживает бурное развитие, и успешность хирургии РОС достигает 90% и выше. Однако, в настоящее время актуальными вопросами остаются снижение рисков повторных операций, улучшение функциональных исходов и послеоперационной остроты зрения.

Основной причиной повторных оперативных вмешательств являются прогрессирование пролиферативной ретинопатии, что может приводить к формированию эпиретинального фиброза, макулярному отеку, а также к рецидивированию отслойки сетчатки.

Мы изучили имеющиеся в современной литературе исследования, в которых отражены результаты пилинга внутренней пограничной мембраны при хирургии РОС и данные применения других альтернативных методик, направленных на снижение рисков возникновения указанных выше послеоперационных осложнений.

Rhegmatogenous retinal detachment (RRD) is one of the general determinants of the primary sight disability. However, employable people represent the majority of patients with RRD.

Over the past 50 years, retinal detachment surgery had rapid progress, and the rate of success surgery increased up to 90% and higher. However, reducing the risks of reoperations, improving functional outcomes and increasing postoperative visual acuity remain topical issues at present.

The main reason for second surgical interventions is progression of the proliferative vitreoretinopathy, which can lead to epiretinal membrane, macular oedema, and to recurrence of the retinal detachment.

We reviewed current literature studies that report the results of internal limiting membrane peeling in cases with RRD and other alternative techniques aimed at reducing the risk of mentioned above postoperative complications.

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The authors declare that there are no conflicts of interest present.