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J. Zapuskalova, I. Zapuskalov; Pneumoretinopexy With Simultaneous Remove of Subretinal Liquid in the Treatment of the Age Related Wet Macular Degeneration . Invest. Ophthalmol. Vis. Sci. 2003;44(13):5019.
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Purpose: To suggest the new simple treatment of the wet macular degeneration with a combined surgical and lasercoagulation method. Methods: In our clinic new method of combined treatment of wet macular degeneration was worked up. It includes surgical removal of subretinal liquid by low traumatic technology and using lasercoagulation on lesion part of retina. The first part of the operation consists of successive procedures. A subtenial canal is performed in the upper temporal quadrant. Than an injection needle is placed in the area of ciliary body pars plana into the eyeball. The fluid is instilled with the syringe (filled up with 0,5 ml of physiological solution and sterile air) in the posterior pole of the eyeball cavity, until the central retinal artery stop to pulsate. After that the retina, choroid and sclera are perforated through the point of the highest level of the retinal detachment, whereupon the needle is returned into the eyeball, therefore subretinal liquid begins to seep through this orifice and goes out through the subtenial canal out. Than the eyeball cavity is filled up with the air from the syringe until the central retinal artery begins to pulsate. At the end we achieve the complete adjacency of the retina. All procedures are fulfilled with the binocular ophthalmoscope control. The second part of this method is the performance of the lasercoagulation treatment. Results: The 6 eyes were operated by this method. Initial acuity of vision was between 0,01-0,02 and the best result we had achieved after treatment was 0,06-0,08. The patients were observed in the course of year. The complications, worsening of conditions were not observed. The acuity of vision remained on reachable level. Conclusions: This method is simple in usage. This performance does not need hightecnological, specific equipment. It is low traumatic. It allows to perform the lasercoagulation of the macular area in corpore with a high-quality result without subsequent recurring retinal detachment.
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