MICROINVASIVE SURGICAL TREATMENT OF MACULAR HOLE OF STAGE I WITHOUT VITRECTOMY UNDER THE INTRA-OPERATIVE OCT CONTROL

• Main Authors: Y. V. Bayborodov, L. I. Balashevich
• Format: Article
• Language: Russian
• Published: Publishing house "Ophthalmology" 2017-04-01
• Series: Офтальмохирургия
• Subjects: i stage of macular hole; mechanical separation of posterior hyaloids
• Online Access: https://www.ophthalmosurgery.ru/jour/article/view/318
• ISSN: 0235-4160; 2312-4970

Purpose.  To  assess  long-term results  of the  use  of mechanical separation of posterior hyaloid (PH) from foveola without vitrectomy in case of macular holes in the stages Ia and Ib.Material and methods. The study included the observations in 130 patients with macular holes in the stage Ib, operated on by the same technology by the  same  surgeon. Posterior  hyaloids membrane was separated from the foveola through 2 27Ga ports for optical fiber and a special tool.All  patients before and after surgery the following analyzes were performed: anamnesis, visometry,  standard  perimetry,  evaluation of strains on the Amsler grid, optical coherence tomography (OCT) of high-resolution using the «Cirrus» device of the Carl Zeiss Meditec company.Results.  According to the optical coherence  tomography of high resolution it was possible to separate completely the PH from foveola without a formation of penetrative macular holes in 98.5% of cases.Conclusions.   Microinvasive mechanical separation  of  PH  from foveola at the stage I of macular hole without staining and vitrectomy interrupts the disease process, preventing the development of penetrative macular hole, eliminates the cause of the disease.