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Surgical treatment of traumatic macular retinal tear using a fragment of internal limiting membrane

Year: 2025, volume 21 Issue: №1 Pages: 13-18
Heading: Ophthalmology Article type: Original article
Authors: Shilov N.M., Tereshchenko A.V., Plakhotniy M.A., Novikov S.V.
Organization: The Kaluga branch of the S. Fyodorov Eye Microsurgery Federal State Institution, Kaluga, Russia
Summary:

Objective: to evaluate the possibility of using the technology of step-by-step formation of the foveal intact fragment and the superior inverted fragment of the internal limiting membrane in surgery for traumatic macular hole of the retina. Material and methods. 7 patients (7 eyes) with traumatic macular hole as a result of severe contusion of the eyeball, including 5 with complicated traumatic macular hole, 2 with uncomplicated. Preoperative best corrected visual acuity (BCVA) ranged from 0.03 to 0.12, minimal macular hole diameter ranged from 230 to 512 urn. All patients were operated on using a modification of the surgical technique. The observation period is up to 1 year. Results. Closure of the traumatic macular hole occurred in all patients. In all treated patients, over a period of up to 3-6 months, there was a gradual increase in visual acuity (up to 0.5-0.7), the limitation of which in some cases (up to 0.05-0.2) was associated with the severity of the consequences of the contusion on the neuroreceptorthe apparatus of the eye and the combination of lesions. Conclusion. The proposed technology can be successfully used in surgery for traumatic macular hole, especially with combined contusion damage to the posterior pole of the eyeball, because it allows for surgical intervention without long-term postoperative tamponade of the vitreal cavity with gas or silicone oil.

Keywords: traumatic macular hole, internal limiting membrane

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All articles of the authors: Tereshchenko A.V. , Shilov N.M., Plakhotniy M.A., Novikov S.V.

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