Combined Phacovitrectomy in Surgical Treatment of Rhegmatogenous Retinal Detachment Complicated by Proliferative Vitreoretinopathy. Clinical case

Purpose. Review surgical treatment clinical case of rhegmatogenous retinal detachment (RRD) from the standpoint of the effectiveness of single-stage combined phacovitrectomy (FVE), as a combination of microinvasive vitrectomy and cataract phacoemulsification (PEC). Patient and methods. A clinical case of a patient diagnosed with RRD, proliferative vitreoretinopathy (PVR) stage “C” posterior 1, moderate myopia, peripheral vitreochorioretinopathy is presented. Surgical intervention was performed using the ophthalmological surgical system “Alcon Constellation Vision System” (USA) and the microscope “Leica Proveo 8” (Switzerland). The ophthalmologic status was assessed using standard methods based on ultrasound examination (Quantel medical compact touch, France), photo recording of the fundus and optical coherence tomography of the macular region (on the Topcon 3D OCT-1 Maestro tomograph, Japan).

Results and conclusion. Surgical treatment was performed in the volume of combined FVE 25 Ga with implantation of an intraocular lens and tamponade of the vitreous chamber with “light” silicone oil with a viscosity of 2000 cSt. The results of surgical treatment indicate high efficiency and safety of the FVE technique, which is confirmed by the absence of recurrence of the disease and the need for additional surgical interventions during dynamic observation for up to 6 months. The presented clinical case demonstrates a number of significant advantages of the FVE method, which include, in particular, safe and controlled implementation of PEC, due to the support of the capsular bag by the preserved vitreous body, optimal visualization of the fundus structures and vitreous body peripheral parts, the absence of an additional stage of surgical intervention to remove cataracts associated with rehospitalization and psychoemotional stress directly affecting the patient’s quality of life.

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