The use of autologous conditioned platelet rich plasma in the surgery of rhegmatogenous retinal detachment with central, paracentral and peripheral tears

Purpose: to evaluate the efectiveness of surgical treatment of rhegmatogenous retinal detachment with central, paracentral and peripheral tears using autologous conditioned platelet rich plasma (ACP), without endolaser photocoagulation and silicone oil tamponade. Material and Methods. The operative technique consists of carrying out 25 & 27 Ga vitrectomy, removing the posterior hyaloid membrane, the inner limiting membrane in the presence of a macular hole, pneumoretinopexy. ACP, devoid of leukocytes and containing 1.5-3 times more platelets that found in whole blood is then instilled into the central, paracentral and / or peripheral retinal tears in 2-3 layers including retina around the tear. 59 patients with visual acuity from the correct visual projection to 0.9 were treated. Results. The retina was reattached in 96.6 % of patients and the retinal tears were blocked; two patients with multiple peripheral tears underwent operation. Over a 1-12 months follow up period, 4 recurrent retinal detachments were recorded, which also required repeat surgery. In 93.2 % of patients complete retinal reattachment and blocking of the retinal defect was achieved. The visual acuity of the operated patients was 0.03-0.9. Conclusion. 25 & 27 Ga vitrectomy of retinal detachment with central, paracentral and peripheral tears and blocking of retinal defects with ACP without endolaser photocoagulation of the retina and silicone tamponade is a method that enables total retinal reattachment and better functioning of the operated eye to be achieved in most cases.