Surgical treatment of the through macular orifice on the background of postthrombotic macular edema of the retina

Written by Sokolov K.V., Kasatkina I.S.

  UDK: 617.735:616.145.15-089.87 | Pages: 97–98 | Full text PDF | Open PDF 


A clinical observation of a combination of two severe pathological processes, the through macular opening and postthrombotic macular edema of the retina in a 65-year-old man, is described. Combined approach to treatment – intravitreal administration of aflibercept with subsequent transconjunctival vitrectomy – allowed closing the anatomical defect in the foveolar zone with increased visual acuity and restoration of reading ability.

Links to authors:

K.V. Sokolov1, 2, I.S. Kasatkina2
1 Pacific State Medical University (2 Ostryakova Ave. Vladivostok 690950 Russian Federation),
2 Primorskiy Center of Eye Microsurgery (100e Borisenko St. Vladivostok 690080 Russian Federation)

1. Alpatov S.A., Schuko A.G., Malyshev V.V. Patterns of formation of idiopathic macular ruptures // The Russian Annals of Ophthalmology. 2001. No. 5. P. 30–33.
2. Alpatov S.A., Schuko A.G., Malyshev V.V. Idiopathic macular tears. Novosibirsk: Nauka. 2002. 109 p.
3. Boyko E.V., Anisimov A.A., Churashov S.V. [et al.]. Modern possibilities of visualization of vitreoretinal structures: problems and prospects // Pacific Medical Journal. 2016. No. 3. P. 5–11.
4. Tultseva S.N., Astakhov Yu.S. Occlusion of retinal veins (etiology, pathogenesis, clinic, diagnosis, treatment). StP.: N-L, 2010. 112 p.
5. Lauri M., Chen E., Looman M., Gallagher M. The burden of disease of retinal vein occlusion: review of the literature // Eye. 2011. Vol. 25, No. 8. P. 981–988.
6. Lyskin P.V., Zakharov V.D., Lozinskaya O.L. Pathogenesis and treatment of idiopathic macular ruptures. Evolution // Oftal’mokhirurgiya. 2010. No. 3. Р. 52–55.
7. Rehak J., Rehak M. Branch retinal vein occlusion: pathogenesis, visual prognosis and treatment modalities // Current Eye Research. 2008. Vol. 33. P. 111–131.
8. Rogers S.L. Mclntost L., Lim L. [et al.]. Natural history of branch retinal vein occlusion: an evidence – based systematic review // Ophthalmology. 2010. Vol. 117. P. 1094–1101.
9. Royal College of Ophthalmologists: Retinal vein occlusion interim guidelines. London, 2009.
10. Wong T.Y., Scott I.U. Retinal-vein occlusion // The New England Journal of Medicine. 2010. Vol. 363. P. 2135–2144.


Founded in 1997  |  Editions in a year: 4, Articles in one issue: 30 |  ISSN of print version: 1609-1175  |  Ind.: 18410 (Agency "Rospechat’")  |  Edition: 1000 c.