New trends of surgical intervention for refractory macular hole
10.3760/cma.j.issn.1005-1015.2016.05.029
- VernacularTitle:难治性黄斑裂孔手术治疗现状与进展
- Author:
Juping LIU
;
Xiaorong LI
- Publication Type:Journal Article
- Keywords:
Retinal perforations/surgery;
Vitreoretinal surgery;
Review
- From:
Chinese Journal of Ocular Fundus Diseases
2016;32(5):553-556
- CountryChina
- Language:Chinese
-
Abstract:
Refractory macular hole (MH) has lower surgical anatomical closure rate and poor recovery of visual acuity due to its clinical characteristics.Refractory macular hole includes unclosed MH,reopening MH,large MH,high myopic MH,traumatic MH and secondary MH.Some modified surgeries were employed to improve the surgical results.Inverted internal limiting membrane flap,autologous transplantation of the internal limiting membrane,laser photocoagulation,extended internal limiting membrane peeling,arcuate retinotomy,lens capsular flap transplantation and mesenchymal stem cell transplantation can improve the prognosis partially.Loosening MH traction,providing a scaffold for Müller cell proliferation and promoting photoreceptor reconstruction will be the key points in future.
