For the first time in the world, a unique operation to remove a large-sized intraocular hemangioma of the choroid was performed at the State Institution “Institute of Eye Diseases and Tissue Therapy named after Filatov NAMSU” (Odessa).
As reported in a press release from the institute, the operation was performed at the end of 2020 on a 21-year-old patient who could not use non-surgical methods of treatment due to the large tumor size (12.2 mm x 16.1 mm, bulging into the vitreous body – 6 mm), which continued to grow.
“Understanding what the loss of an eye would mean for a young active girl both from a cosmetic and psychological point of view, the doctors of the Filatov Institute offered the patient an operation,” reported in a press release.
To reduce the risk of bleeding, the specialists of the Institute used their unique development – the method of high-frequency welding of biological tissues in ophthalmology, developed in conjunction with the Institute of Electric Welding. E.A. Paton National Academy of Sciences of Ukraine. They also developed the instrumentation necessary for the interventions.
The operation was carried out by one of the authors of the method, Doctor of Medical Sciences Nikolai Umanets. During the operation, which lasted several hours, each dissected vessel was “welded” to avoid bleeding.
“When a month later the patient arrived for an examination, the doctors not only made sure that they had managed to save an eye, but also revealed the appearance of her “silhouette vision”, which she did not have before the operation, “- according to a press release.
At present, the Institute’s specialists are preparing publications for world-famous ophthalmological publications. The video filming made during the operation will allow presenting a unique achievement at world conferences and congresses.
Hemangiomas are benign neoplasms that affect human blood vessels in various parts of the body. In the case of formation in the choroid of the eye (choroid), they do not threaten the patient’s life, however, they are accompanied by a significant decrease in vision and can cause the development of serious complications, such as retinal detachment, hemorrhage into the eye cavity, increased intraocular pressure (glaucoma).
Currently, there are a number of treatment methods for this pathology, aimed at stopping the growth and destruction of the tumor and are effective in the case of small formations. The only attempt to surgically remove an intraocular hemangioma recorded by the world ophthalmological community is an operation performed in 2019 by an Italian ophthalmologist Barbara Parolini. In that case, the tumor was small. In the case of a large lesion and /or its unsuccessful location, surgical removal of intraocular hemangiomas is not performed due to the very high risk of bleeding and the lack of effective methods to stop it. Most often, the only way to solve the problem is to remove the eye.
Institute of Eye Diseases and Tissue Therapy. V.P. Filatov National Academy of Medical Sciences of Ukraine is an institution of Ukraine strategically important for the health of the nation.
The Filatov Institute Clinic is the only highly specialized ophthalmological center in Ukraine, which provides consultations, diagnostics and treatment (conservative and surgical) of all types of eye diseases using innovative technologies.
For 85 years of the Institute’s activity (on April 4 this year, the Institute celebrates its 85th anniversary), its employees have made a huge contribution to the development of domestic and world ophthalmological science.
Today the Institute is a national center for scientific research in the most topical areas of ophthalmology. Scientists of the Institute represent Ukrainian science at world international congresses, congresses, conferences and symposia. Constant scientific development and achievements of employees, recognized by both domestic and foreign experts, make the Institute. V.P. Filatova a leader not only in Ukrainian, but also in world ophthalmology.
The Filatov Institute is a major center for training personnel in the field of scientific and practical ophthalmology. On the basis of the Institute, the Department of Eye Diseases of the Odessa Medical University operates, training of interns, clinical residents, full-time and part-time graduate students is carried out. Also, thematic advanced training of specialists in all sections of ophthalmology is carried out, a specialized academic council for the defense of doctoral and master’s theses is working.
The clinical base of the Filatov Institute consists of 9 specialized departments, in which 475 patients can simultaneously be hospitalized. On the basis of the institute, there are 5 national centers specializing in the most complex ophthalmological pathologies. Ophthalmology surgeons operate more than 16 tons per year