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Long-term results of mechanical separation of vitreo-foveolar adhesion in patients with stage I macular hole without vitrectomy

Session Details

Session Title: Vitreoretinal Surgery II

Session Date/Time: Friday 18/09/2015 | 08:00-10:00

Paper Time: 08:40

Venue: Calliope

First Author: : Y.Bayborodov RUSSIAN FEDERATION

Co Author(s): :                  

Abstract Details

PURPOSE:Evaluate the effectiveness of long-term results (up to 4 years) use of a new method of mechanical separation from posterior hyaloid from foveola in stage I macular hole without stain agent and without vitrectomy.


A comparative randomized (same character pathology, disease stage, visual acuity, operation identical conditions, one surgeon) study included 130 patients (130 eyes) with foveolar adhesion posterior hyaloid - the I stage of macular hole.


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 spatula to capture posterior hyaloid and its separation from the foveola, removal tools, sealing ports.


All 130 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 2 of 130 patients - 1.5% of the cases. Stable anatomical results of surgical treatment - saving ILM without strain after mechanical separation of posterior hyaloid in 98.5% of cases, associated with the peculiarities of its adhesion to the ILM in foveola.


Completed on time, mechanical surgery of stage I macular hole - mechanical separation posterior hyaloid from foveola without coloring and without vitrectomy, interrupts the pathological process, eliminating the cause of the disease while maintaining intraocular structures in 98.5% of cases.

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