ophthalmologyОфтальмологияOphthalmology in Russia1816-50952500-0845Ophthalmology10.18008/1816-5095-2022-1-58-62ophthalmology-1771Research ArticleОБЗОРЫREVIEWSХирургические аспекты лечения рецидивирующих макулярных отверстийSurgical Aspects of Recurrent Macular Holes Treatmenthttps://orcid.org/0000-0003-0863-7762СамойловА. Н.SamoylovA. N.

Самойлов Александр Николаевич, заведующий кафедрой офтальмологии; профессор, доктор медицинских наук, заслуженный врач РФ, РТ, главный специалист ГАУЗ «РКОБ МЗ РТ им. проф. Е.В. Адамюка»

ул. Бутлерова, 49, Казань, 420012; ул. Бутлерова, 14, Казань, 420012

Samoylov Alexander N., MD, Professor, Head of the Department of ophthalmology

Butlerov str., 49, Kazan, 420012; Butlerov str., 14, Kazan, 420012

samoilovan16@gmail.comХайбрахмановТ. Р.KhaibrakhmanovT. R.

Хайбрахманов Тимур Рамилевич, ординатор кафедры офтальмологии

ул. Бутлерова, 49, Казань, 420012

Khaibrakhmanov Timur R., Resident of Ophthalmology Department

Butlerov str., 49, Kazan, 420012

ХайбрахмановаГ. А.KhaibrakhmanovaG. A.

Хайбрахманова Гульчачак Айратовна, ординатор кафедры офтальмологии

ул. Бутлерова, 49, Казань, 420012

Khaibrakhmanova Gulchachak A., Resident of Ophthalmology Department

Butlerov str., 49, Kazan, 420012

СамойловаП. А.SamoilovaP. A.

Самойлова Полина Александровна, студентка

ул. Бутлерова, 49, Казань, 420012

Samoilova Polina A., Student

Butlerov str., 49, Kazan, 420012

ФГБОУ «Казанский государственный медицинский университет» Министерства здравоохранения Российской Федерации; ГАУЗ «Республиканская клиническая офтальмологическая больница имени профессора Е.В. Адамюка» Министерства здравоохранения Республики ТатарстанРоссияKazan State Medical University; Republican Clinical Ophthalmologic HospitalRussian FederationФГБОУ «Казанский государственный медицинский университет» Министерства здравоохранения Российской ФедерацииРоссияKazan State Medical UniversityRussian Federation2022070420221915862Copyright © Самойлов А.Н., Хайбрахманов Т.Р., Хайбрахманова Г.А., Самойлова П.А., 20222022Самойлов А.Н., Хайбрахманов Т.Р., Хайбрахманова Г.А., Самойлова П.А.Samoylov A.N., Khaibrakhmanov T.R., Khaibrakhmanova G.A., Samoilova P.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.ophthalmojournal.com/opht/article/view/1771

Несмотря на высокий уровень развития современной хирургии полных макулярных отверстий, рецидивирующие макулярные отверстия остаются довольно серьезной проблемой для витреоретинальных хирургов и по происхождению могут быть двух типов: макулярные отверстия, не закрывшиеся после первичной хирургии, и макулярные отверстия, вновь развившиеся после успешной первой операции. В зарубежной литературе эти типы принято выделять как персистирующие и рецидивирующие макулярные отверстия. Обзор содержит сведения о современной отечественной и зарубежной научной литературе, посвященной эпидемиологии, причинам развития и хирургическому лечению рецидивирующих макулярных отверстий. Представлены сведения о рациональности и эффективности современных хирургических подходов к лечению данного состояния. Освещены наиболее эффективные методы лечения полных макулярных отверстий большого диаметра, являющихся одной из основных причин незакрытия дефекта в ходе первой операции или при рецидиве данного состояния после первого успешного вмешательства. Основываясь на анализе данных научной литературы, можно сказать, что основными методами выбора в хирургии рецидивирующих макулярных отверстий в настоящее время являются применение богатой тромбоцитами плазмы и различных модификаций методики инвертированного клапана внутренней пограничной мембраны, трансплантации аутологичной внутренней пограничной мембраны, в том числе метод перемещенного клапана внутренней пограничной мембраны.

Despite the high level of development of modern macular surgery, recurrent macular holes remain a rather serious problem for vitreoretinal surgeons. Recurrent macular holes can be of two types: macular holes that have not closed after primary surgery, and macular holes that have reopened after a successful initial surgery. In foreign literature they are called persistent and recurrent macular holes. This article presents a review of modern scientific literature on epidemiology, causes of development and surgical treatment of recurrent macular holes. This review provides information on the rationality and effectiveness of modern surgical approaches to the treatment of this condition. The most effective methods for treating large macular holes, which are one of the main causes of failure to close a defect during the first surgery or the development of a recurrence of this condition sometime after the first surgery, are covered. Based on the literature data, we can say that the main methods of choice in surgery for recurrent macular holes today are the use of platelet-rich plasma and various modifications of the inverted internal limiting membrane flap technique, transplantation of the autologous internal limiting membrane, including the displaced internal limiting membrane flap technique patented in the Russian Federation.

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The authors declare that there are no conflicts of interest present.