Long-term results surgical treatment stage I macular hole without vitrectomy under IOCT- control

Session Details

Session Title: Free Paper Session 20: Vitreoretinal Surgery V

Session Date/Time: Sunday 10/09/2017 | 08:00-09:30

Paper Time: 08:42

Venue: Room 117

First Author: : Y.Bayborodov RUSSIA

Co Author(s): :                                 

Abstract Details

Purpose:

Evaluate the effectiveness of long-term results (up to 2 years) use of a method of mechanical separation from posterior hyaloid from foveola in stage I macular hole without stain agent and without vitrectomy under IOCT-control

Setting:

A comparative randomized (same character pathology, disease stage, visual acuity, operation identical conditions, one surgeon) study included 80 patients with foveolar adhesion posterior hyaloid - the I stage of macular hole

Methods:

Patients applied 29 Ga (optical fiber) - 27 Ga (retinal spatula) tools. The default installation of two ports, the introduction of the optical fiber with a mercury light source, through the promotion of special tool to capture posterior hyaloid and its separation from the foveola under iOCT-control, removal tools, sealing ports

Results:

All 80 patients, according to the optical coherence tomography of high resolution remove completely separate posterior hyaloid from foveola. Macular holes through the formation was observed in only 4 of patients of the cases. Stable anatomical results of surgical treatment - saving ILM without strain after mechanical separation of posterior hyaloid, associated with the peculiarities of its adhesion to the ILM in foveola and reliable control by means of intraoperative OCT.

Conclusions:

Surgery of stage I macular hole - mechanical separation posterior hyaloid from foveola without colouring and without vitrectomy under iOCT-control interrupts the pathological process, eliminating the cause of the disease while maintaining intraocular structures

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