Surgical Aspects of Recurrent Macular Holes Treatment
https://doi.org/10.18008/1816-5095-2022-1-58-62
Abstract
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.
About the Authors
A. N. Samoylov
Kazan State Medical University; Republican Clinical Ophthalmologic Hospital
Russian Federation
Russian Federation
Samoylov Alexander N., MD, Professor, Head of the Department of ophthalmology
Butlerov str., 49, Kazan, 420012; Butlerov str., 14, Kazan, 420012
T. R. Khaibrakhmanov
Kazan State Medical University
Russian Federation
Russian Federation
Khaibrakhmanov Timur R., Resident of Ophthalmology Department
Butlerov str., 49, Kazan, 420012
G. A. Khaibrakhmanova
Kazan State Medical University
Russian Federation
Russian Federation
Khaibrakhmanova Gulchachak A., Resident of Ophthalmology Department
Butlerov str., 49, Kazan, 420012
P. A. Samoilova
Kazan State Medical University
Russian Federation
Russian Federation
Samoilova Polina A., Student
Butlerov str., 49, Kazan, 420012
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Review
For citations:
Samoylov A.N., Khaibrakhmanov T.R., Khaibrakhmanova G.A., Samoilova P.A. Surgical Aspects of Recurrent Macular Holes Treatment. Ophthalmology in Russia. 2022;19(1):58-62. (In Russ.) https://doi.org/10.18008/1816-5095-2022-1-58-62
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