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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.

Setting:

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.

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

Results:

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.

Conclusions:

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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