Review article
https://doi.org/10.21860/medflum2019_218807
Microsurgical treatment of macular holes
Damir Kovačević
; Klinika za oftalmologiju, Klinički bolnički centar Rijeka, Rijeka, Hrvatska
Tea Čaljkušić-Mance
; Klinika za oftalmologiju, Klinički bolnički centar Rijeka, Rijeka, Hrvatska
Lana Kostić
; Klinika za oftalmologiju, Klinički bolnički centar Rijeka, Rijeka, Hrvatska
Abstract
A macular hole is a disorder of the most delicate structures in the central retina. Left untreated it usually leads to severe loss of visual acquity. Microsurgical treatment of macular holes is first mentioned in 1991 by Kelly and Wendell. It has been more than 20 years since those rather simple beginnings using classical vitrectomes with bigger radius and air tamponade to the suture-free microincision technologies we use today. Internal limiting membrane peeling in combination with special vital dyes and new types of tamponade upgraded the anatomical and functional success of these surgeries. Usage of optic coherence tomography enables better analysis of vitreoretinal disorders and monitoring postoperative changes in the macular area. New methods in treatment of complicated macular holes such as inverted internal limiting membrane flap, pharmacologic vitreolysis, retinal transplantation and new options of conservative treatment in initial stages of macular holes give confidence that there is still room for improvement in treatment of macular holes.
Keywords
macular hole; microsurgery; vitrectomy
Hrčak ID:
218807
URI
Publication date:
1.6.2019.
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