FIELD: medicine.
SUBSTANCE: invention relates to medicine, specifically to ophthalmology. To assess the effectiveness of treatment of valvular retinal ruptures, complicated by subclinical retinal detachment, laser treatment is performed, spectral optical coherence tomography of the retina (SOCT) and multispectral laser scanning of the retina. SOCT and multispectral laser scan of the retina are performed before and after laser treatment at 1, 3 and 6 months. On the tomogram, the maximum height of the subclinical detachment is measured in the same optical section. On the scan, the area of the subclinical detachment is determined. If in dynamics after laser treatment, a decrease in the value of the height of the subclinical detachment is determined, or its complete adherence, decrease in the area of the subclinical detachment, or its complete absence in comparison with the values of height and area of subclinical detachment before treatment, then treatment is considered sufficient and effective, and the course of the rupture is regressive. If in dynamics after laser treatment the values of height and the area of subclinical detachment are determined, close to the height and area before treatment, then treatment is considered ineffective, and the course of the rupture is relatively stable. If in dynamics after laser treatment an increase in the values of the height of the subclinical detachment and the area of the subclinical detachment is determined with the propagation of its boundaries beyond the limits of laser coagulants in comparison with the values of height and area of subclinical detachment before treatment, then treatment is considered insufficient and inefficient, and the course of the rupture is progressive.
EFFECT: method allows timely detection of progression of ruptures, to reduce the risk of development of rhegmatogenous retinal detachment and loss of visual functions due to increased accuracy in assessing the effectiveness of valvular retinal rupture treatment, complicated by subclinical retinal detachment, the possibility of dynamic monitoring of their course and the development of postoperative management tactics for such patients.
1 cl, 3 ex
