Stebnev V.S., Stebnev S.D., Malov V.M.
SYMPTOMATIC VITREO-MACULAR ADHESIONCOMPLICATED BY TRACTIONALMACULOPATY ^{[№ 12 ' 2015]}
Vitreomacular adhesion (VMA) may be asymptomatic not causing patients or decrease in visual acuity, nor any complaints. With the development of symptomatic VMA (sVMA) increasing traction from the vitreous leads to anatomical vitreomacular interface disorders. Depending on the length and severity of sVMA, from the direction and power of the vector forces vitreomacular traction, sVMA can lead to the development of different clinical forms of lesions of the macular area, including the traction maculopathy. The role of symptomatic vitreo-macular adhesion in the formation of the traction maculopathy studied. Using optical coherence tomography, the peculiarities of fixation and extent symptomatic of vitreo-macular adhesion, especially changes in the external and internal layers of the retina. In the study of 185 patients with sVMA complicated by traction maculopathy, we studied the nature of fixation and linear extent of adhesion of the vitreous body. In 137 patients (74 %) revealed the length of sVMA less than 500 microns. The linear length of sVMA from 500 to 1500 microns was observed in 18 patients. The length of sVMA more than 1 500 microns was diagnosed in 30 patients. The analysis of the nature of intraretinal changes in the combination of symptomatic of vitreo-macular adhesion and vitreo-papillary adhesion. Thus, our studies allowed us to identify three groups of vitreo-macular adhesion of different morphological configurations and linear length. The features determined the character of changes in the macular profile, characteristics and timing of the development of changes in the retinal macular area.

Stebnev S.D., Stebnev V.S., Malov V.M.
CHROMOVITRECTOMY OF SYMPTOMATIC VITREO-MACULAR ADHESIONCOMPLICATED BY EARLY STAGES OF PRIMARY FULL-THICKNESS MACULAR HOLES ^{[№ 12 ' 2015]}
Chromovitrectomy — modern section of vitreoretinal surgery involving the use during surgery endovitreal dyes for better visualization of the vitreous, preretinal and retinal structures. This technology involves the selective recruitment endovitreal dyes for staining structures of the posterior segment of the eye, which creates a useful contrast edges of the removed structures, extends the identification of the true boundaries of the pathological membranes, improves the visualization of the underlying internal limiting membrane, allows you to operate on patients at earlier stages of the disease, and with less injuries. Central pathogenetic role in the development of primary full-thickness macular hole is traction symptomatic effects of vitreo-macular adhesion (sVMA) on foveolar region. Studied the clinical efficacy of chromovitrectomy in the surgery of symptomatic vitreo-macular adhesion, complicated by primary full-thickness macular hole in the early stages of its formation in 42 patients. The patients age from 46 to 72 years (average of 64.5 m± 3.2 m). Women — 31 (74 %), men — 11 (26 %). In 23 patients primary full-thickness macular hole was classified as stage I, 19 — II stage. Using technology chromovitrectomy may guaranteed eliminate symptomatic of vitreo-macular adhesion. All 42 patients with this disease who were under surveillance, was able to eliminate symptomatic of vitreo-macular adhesion and to achieve primary closure of full thickness macular holes. The use of technology chromovitrectomy symptomatic of vitreo-macular adhesion, complicated by primary full-thickness macular hole, allows to obtain a high anatomical and functional results that provides a basis to apply active surgical tactics in the early stages of primary full-thickness macular hole.

Skladchikova N.Yu., Stebnev S.D.
TO THE QUESTION OF ANTISEPTIC PREPARATIONS APPLICATION FOR POSTOPERATIVE INFECTIOUS COMPLICATIONS PROPHYLAXIS IN CATARACT PATIENTS ^{[№ 4 ' 2013]}
The investigation is dedicated to the actual problem of modern ophthalmic surgery — prophylaxis of postoperative infectional complications. There was studied the efficiency of the agent Ocomistin usage at 600 patients undergoing cataract surgery. The medicine was used in pre and postoperative period. The results showed that the Ocomistin is effective for prophylaxis of postoperative inflectional complications, also due to patients with allergic reactions.

Stebnev V.S., Malov V.M., Stebnev S.D.
THE RESULTS OF COMBINED SURGERY PATIENTS WITH CATARACT AND IDIOPATHIC MACULAR HOLES ^{[№ 4 ' 2013]}
In the article features and results of the surgical treatment of patients with macular holes and cataracts with application of combined surgery are studied. To all patients phacoemulsification with IOL implantation was performed. Then microinvasive 25+ Gauge valved system chromovitrectomy was done. Such technic allows to achieve high anatomic and functional results in treatment of macular holes and cataract in the early and remote period of supervision. Intraoperative and postoperative complications are studied with anatomic and functional results.

Stebnev V.S., Malov V.M., Stebnev S.D.
THE RESULTS OF VITREORETINAL FOVEOSHIZIS SURGERY ^{[№ 12 ' 2012]}
Clinical research of 3 patients with myopic foveoshizis after vitreoretinal surgery. 3 port vitrectomy 25-gauge was performed to all patients. Posterior hyaloids membrane and internal limited membrane were removed with Brilliant Blue G. All operations were finished with oil tamponade. The effectiveness off retina-vitreal surgery is shown, which helps to cure all patients with foveashizis.