Abstract
Peripheral vitreochorioretinal degenerations represent a risk factor for rhegmatogenous retinal detachment. The prophylactic treatment of retinal detachment is still debated, because it is not clear which type of lesion should be treated and which therapeutic method should be used. Besides, sometimes treatment itself is recognized as a risk factor for RRD – in certain cases laser treatment performed in the visible areas of degeneration may increase the invisible vitreoretinal traction and cause new tears and retinal detachment in unsuspected areas. Therefore, one should carefully examine each patient and take into account all risk factors before performing a prophylactic treatment in peripheral degenerations. Performing OCT of the retinal periphery may be of great help in determining the risk of RRD, necessity and timing of preventive LPC, and in assessing the state of the retina and laser burns in the postoperative period. Analysis of OCT data in different clinical types of retinal tears allowed to identify three risk levels according to the probability of RRD development: retinal tears with high risk of RRD, retinal tears with moderate risk of RRD, and retinal tears with low risk of RRD.
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Shaimova, V.A., Boyko, E.V., Pozdeeva, O.G. (2017). Retinal Laser Photocoagulation in Peripheral Retinal Degenerations. In: Shaimova, V. (eds) Peripheral Retinal Degenerations. Springer, Cham. https://doi.org/10.1007/978-3-319-48995-7_7
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