Surgical treatment of macular hole without removal of the internal limiting membrane
Purpose. To represent new technique of macular hole surgical treatment without removal of the internal limiting membrane. Material and methods. A clinical, functional, anatomical and topographic analysis of the macular hole treatment in 21 eyes (21 patients), operated at the Eye Microsurgery Yekater...
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| Format: | Article |
| Language: | Russian |
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Publishing house "Ophthalmology"
2024-06-01
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| Series: | Офтальмохирургия |
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| Online Access: | https://ophthalmosurgery.ru/index.php/ophthalmosurgery/article/view/635/909 |
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| author | A.Yu. Kleimenov V.N. Kazaikin М.А. Lipina A.D. Ozhegov |
| author_facet | A.Yu. Kleimenov V.N. Kazaikin М.А. Lipina A.D. Ozhegov |
| author_sort | A.Yu. Kleimenov |
| collection | DOAJ |
| description | Purpose. To represent new technique of macular hole surgical treatment without removal of the internal limiting membrane. Material and methods. A clinical, functional, anatomical and topographic analysis of the macular hole treatment in 21 eyes (21 patients), operated at the Eye Microsurgery Yekaterinburg Center in the period from January 2023 to January 2024 using technique developed at the Center (without removing the ILM). The follow-up period ranged from 2 weeks to 1 year (7.2±1.1). Results. The minimum diameter of the MH ranged from 118 to 618 (368.9±32.9) μm, the base diameter – from 98 to 1070 (732.2±61.3) μm. Complete closure of the macular hole in the early postoperative period was observed in 20 cases (out of 21; 95.2%). BCVA on the 1st day after surgery ranged from 0.005 to 0.08 (0.01±0.01), 6 months after surgery – from 0.35 to 0.95 (0.63±0.17). Throughout the entire observation period, there was no negative dynamics in the state of the retinal ganglion cell complex relative to the indicators of the normative base. Conclusion. Developed technique for the surgical treatment of full-thickness macular holes without removing the internal limiting membrane has shown high efficiency, does not cause damage to retinal ganglion cells in the early and late postoperative period, provides high functional results and can be used in everyday medical practice. |
| format | Article |
| id | doaj-art-cd2146a71d37407fa369d667bcebae3d |
| institution | OA Journals |
| issn | 0235-4160 2312-4970 |
| language | Russian |
| publishDate | 2024-06-01 |
| publisher | Publishing house "Ophthalmology" |
| record_format | Article |
| series | Офтальмохирургия |
| spelling | doaj-art-cd2146a71d37407fa369d667bcebae3d2025-08-20T01:51:44ZrusPublishing house "Ophthalmology"Офтальмохирургия0235-41602312-49702024-06-011392909810.25276/0235-4160-2024-2-90-98Surgical treatment of macular hole without removal of the internal limiting membraneA.Yu. Kleimenov0https://orcid.org/0000-0002-1848-1207V.N. Kazaikin1https://orcid.org/0000-0001-9569-5906М.А. Lipina2https://orcid.org/0000-0003-0580-6188A.D. Ozhegov3https://orcid.org/0009-0003-0601-0445Eye Microsurgery Yekaterinburg Center, Yekaterinburg, Russian FederationEye Microsurgery Yekaterinburg Center, Yekaterinburg, Russian FederationEye Microsurgery Yekaterinburg Center, Yekaterinburg, Russian FederationEye Microsurgery Yekaterinburg Center, Yekaterinburg, Russian FederationPurpose. To represent new technique of macular hole surgical treatment without removal of the internal limiting membrane. Material and methods. A clinical, functional, anatomical and topographic analysis of the macular hole treatment in 21 eyes (21 patients), operated at the Eye Microsurgery Yekaterinburg Center in the period from January 2023 to January 2024 using technique developed at the Center (without removing the ILM). The follow-up period ranged from 2 weeks to 1 year (7.2±1.1). Results. The minimum diameter of the MH ranged from 118 to 618 (368.9±32.9) μm, the base diameter – from 98 to 1070 (732.2±61.3) μm. Complete closure of the macular hole in the early postoperative period was observed in 20 cases (out of 21; 95.2%). BCVA on the 1st day after surgery ranged from 0.005 to 0.08 (0.01±0.01), 6 months after surgery – from 0.35 to 0.95 (0.63±0.17). Throughout the entire observation period, there was no negative dynamics in the state of the retinal ganglion cell complex relative to the indicators of the normative base. Conclusion. Developed technique for the surgical treatment of full-thickness macular holes without removing the internal limiting membrane has shown high efficiency, does not cause damage to retinal ganglion cells in the early and late postoperative period, provides high functional results and can be used in everyday medical practice.https://ophthalmosurgery.ru/index.php/ophthalmosurgery/article/view/635/909macular holeplatelet-rich plasmailm peelingvitrectomy |
| spellingShingle | A.Yu. Kleimenov V.N. Kazaikin М.А. Lipina A.D. Ozhegov Surgical treatment of macular hole without removal of the internal limiting membrane Офтальмохирургия macular hole platelet-rich plasma ilm peeling vitrectomy |
| title | Surgical treatment of macular hole without removal of the internal limiting membrane |
| title_full | Surgical treatment of macular hole without removal of the internal limiting membrane |
| title_fullStr | Surgical treatment of macular hole without removal of the internal limiting membrane |
| title_full_unstemmed | Surgical treatment of macular hole without removal of the internal limiting membrane |
| title_short | Surgical treatment of macular hole without removal of the internal limiting membrane |
| title_sort | surgical treatment of macular hole without removal of the internal limiting membrane |
| topic | macular hole platelet-rich plasma ilm peeling vitrectomy |
| url | https://ophthalmosurgery.ru/index.php/ophthalmosurgery/article/view/635/909 |
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