Oftalmol Zh.2012;4:40-43.

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http://doi.org/10.31288/oftalmolzh201143439

RESULTS OF SURGICAL TREATMENT OF MACULAR HOLE OF LARGE DIAMETER

Umanets N.N., Brazhnikova E.G., Zavodnaya V. S. Odessa, Ukraine

Results of treatment of18 patients (18 eyes) with idiopathic and traumatic rupture of the retina of large-diameter (400 |rm and above) were evaluated. Closure of the retinal breaks after vitrectomy with excision of the posterior hyaloid membrane and internal limiting membrane with a diameter 1 / 3 — 2 / 3 the distance between the macular hole and optic disc followed by a prolonged gas tamponade was achieved in 83.3% and after additional gas tamponade of macular hole by 20 % concentration of perfluoropropane — in 94,4%. According to preliminary data when choosing a tamponade agent in surgery of macular retinal holes of large diameter are preferable to use perfluoropropane.

 

References

1.Уманец Н. Н., БражниковаЕ .Г., Остроухов С. В., Ковалева Е. В. Результаты хирургического лечения больных с идиопатическими макулярными разрывами/ Тези Науково-практичної коференції з міжнародною участю «Сучасні досягнення офтальмохiрургii», 9-10 листопаду 2010 року, Київ. — С. 106- 107.

2.Alpatov S., Shchuko A., Malyshev V. A new method of treating macular holes // Eur. J. Ophthalmol. — 2007 — V. 17(2). — P. 246- 52.
Crossref

3.Kelly N., Wendel R. Vitreous surgery for idiopathic macular holes. Ophthalmology. — 1992. — V.99. — P.1162- 1173.
Crossref

4.Hikichi T., Kosaka S., Takami K. et al. 23- and 20-Gauge Vitrectomy with Air Tamponade with Combined Phacoemulsification for Idiopathic Macular Hole: A Single-Surgeon Study // Am. J. Ophthalmol. — 2011. — V.4. — Р. 27
Crossref

5.Ip M.S., Baker B.J., Duker J. S. et al. Anatomical out-comes of surgery for idiopathic macular hole as determined by optical coherence tomography // Arch. Ophthalmol. — 2002. — V. 120(1). — P. 29- 35.
Crossref

6.Lois N., Burr J., Norrie J. et al. Internal limiting membrane peeling versus no peeling for idiopathic full-thickness macular hole: a pragmatic randomized controlled trial. Full-thickness Macular Hole and Internal Limiting Membrane Peeling Study (FILMS) Grouplnvest // Ophthalmol. Vis. Sci. — 2011. — V.52(3) — P.1586- 92.

7.Michalewska Z., Michalewski J., Adelman RA. Nawrocki J. Inverted internal limiting membrane flap technique for large macular holes. Inverted internal limiting membrane flap technique for large macular holes // Ophthalmology — 2010 — V.117(10). — P. 2018- 25.

8.Van Calster J., Stalmans P. Macular hole surgery with inner limiting membrane peeling, endodrainage, and heavy silicone oil tamponade // Am. J. Ophthalmol. — 2009. — V. 147 — P.495- 500.