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Partial Vitrectomy in the Treatment of Asteroid Hyalosis

https://doi.org/10.18008/1816-5095-2024-4-688-694

Abstract

The article discusses the results of a comparative analysis of surgical treatment of patients with asteroid hyalosis and the presence of kataract or artificial lens. Attention is focused on the persistence or intensification of subjective discomfort caused by the presence of hyalotic bodies in the vitreous during phacoemulsification of cataracts without surgical intervention on the vitreous. The feasibility of minimally invasive subtotal posterior closed vitrectomy as part of a combined intervention for asteroid hyalosis and cataract was demonstrated. The state of the vitreomacular interface was assessed after a limited vitrectomy technique without removal of the posterior hyaloid membrane and treatment of the extreme peripheral parts of the vitreous. The importance of visual artifacts and their impact on postoperative visual acuity is shown. A scale has been developed to assess the impact of asteroid hyalosis on the quality of vision, based on the degree of subjective perception of visual discomfort.

About the Authors

A. A. Veselov
Irkutsk State Medical University; Ophthalmological Department of Faculty Clinic, Irkutsk State Medical University
Russian Federation

Veselov Alexey A., PhD, Associate Professor of the Department of Eye Diseases; ophthalmologist of the ophthalmology department of faculty clinics Krasnogo

Vosstaniya str., 1, Irkutsk, 664003, 

Gagarina blvd, 18, Irkutsk, 664003



T. N. Yurieva
Irkutsk State Medical University; Ophthalmological Department of Faculty Clinic, Irkutsk State Medical University; Irkutsk Branch of S.N. Fyodorov Eye Microsurgery Clinic
Russian Federation

Yurieva Tatiana N.,  MD, professor; ophthalmologist of the ophthalmology department of faculty clinics

Krasnogo Vosstaniya str., 1, Irkutsk, 664003,

Gagarina blvd, 18, Irkutsk, 664003,

Lermontov str., 337, Irkutsk, 664033



S. V. Likontseva
Ophthalmological Department of Faculty Clinic, Irkutsk State Medical University
Russian Federation

Likontseva Svetlana V., head of the ophthalmology department of faculty clinics

Gagarina blvd, 18, Irkutsk, 664003



O. V. El-Burji
Ophthalmological Department of Faculty Clinic, Irkutsk State Medical University
Russian Federation

El‑Burji Olga V., ophthalmologist of the ophthalmology department of the faculty clinics 

Gagarina blvd, 18, Irkutsk, 664003



T. V. Pochtarenko
Irkutsk State Medical University; Ophthalmological Department of Faculty Clinic, Irkutsk State Medical University
Russian Federation

Pochtarenko Tatyana V., assistant at the Department of Eye Diseases, ophthalmologist at the ophthalmology department of faculty clinics Krasnogo

Vosstaniya str., 1, Irkutsk, 664003, 

Gagarina blvd, 18, Irkutsk, 664003



D. G. Rogov
Ophthalmological Department of Faculty Clinic, Irkutsk State Medical University
Russian Federation

Rogov Dmitry G., head of the diagnostic department of the ophthalmology department of faculty clinics 

Gagarina blvd, 18, Irkutsk, 664003



K. A. Kozharko
Ophthalmological Department of Faculty Clinic, Irkutsk State Medical University
Russian Federation

Kozharko Ksenia A., ophthalmologist of the ophthalmology department of the faculty clinics

Gagarina blvd, 18, Irkutsk, 664003



E. S. Belykh
Ophthalmological Department of Faculty Clinic, Irkutsk State Medical University
Russian Federation

Belykh Elena S., ophthalmologist of the ophthalmology department of the faculty clinics

Gagarina blvd, 18, Irkutsk, 664003



Yu. S. Gorelik
Ophthalmological Department of Faculty Clinic, Irkutsk State Medical University
Russian Federation

Gorelik Yulia S., ophthalmologist of the ophthalmology department of the faculty clinics

Gagarina blvd, 18, Irkutsk, 664003



E. A. Chintsova
Ophthalmological Department of Faculty Clinic, Irkutsk State Medical University
Russian Federation

Chintsova Ekaterina A., ophthalmologist of the ophthalmology department of the faculty clinics 

Gagarina blvd, 18, Irkutsk, 664003



References

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3. Kharlap SI, Novikov IA, Avetisov SE, Miroshnik NV, Surguch VK, Fedorov AA, Chizhonkova EA. Scanning electron microscopy results vitreous body in asteroid hyalosis. Annales of Ophthalmology. 2021;137(5-2):181–187 (In Russ.).

4. Korotkikh SA, Grinev AG, Sviridova MB, Danilov AM. Development of an algorithm for choosing a method of surgical treatment in patients with cataracts and asteroid hyalosis. Ophthalmology in Russia. 2020;17(3):361–367 (In Russ.). doi: 10.18008/1816-5095-2020-3-361-367.

5. RozegnałMadej A, Wlaź A, Żarnowski T. Limbal approach phacovitrectomy to treat Cataract with Clinically Significant Asteroid HyalosisPresentation of the Technique and Preliminary Results. J Clin. Med. 2021 Jul 28;10(15):3338. doi: 10.3390/jcm10153338.

6. Malyshev AV, Trubilin VN, Semykin VD. Clinical effectiveness vitrectomy for severe destructive changes in the vitreous. Opht Ophthalmology. 2015;12(3):71–76 (In Russ.). doi: 10.18008/1816-5095-2015-3-71-76.


Review

For citations:


Veselov A.A., Yurieva T.N., Likontseva S.V., El-Burji O.V., Pochtarenko T.V., Rogov D.G., Kozharko K.A., Belykh E.S., Gorelik Yu.S., Chintsova E.A. Partial Vitrectomy in the Treatment of Asteroid Hyalosis. Ophthalmology in Russia. 2024;21(4):688-694. (In Russ.) https://doi.org/10.18008/1816-5095-2024-4-688-694

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ISSN 1816-5095 (Print)
ISSN 2500-0845 (Online)