Progress of treatment for large idiopathic macular holes
10.3760/cma.j.cn115989-20190129-00039
- VernacularTitle:大直径特发性黄斑裂孔的治疗现状及进展
- Author:
Xiaoe FAN
1
;
Xinjun REN
;
Xiaorong LI
Author Information
1. 天津医科大学眼科医院 天津医科大学眼视光学院 天津医科大学眼科研究所 天津市视网膜功能与疾病重点实验室 天津市眼科学与视觉科学国际联合研究中心 300384
- Keywords:
Retinal perforations/surgery;
Vitreoretinal surgery;
Review
- From:
Chinese Journal of Experimental Ophthalmology
2022;40(1):88-92
- CountryChina
- Language:Chinese
-
Abstract:
Size of the macular hole (MH) is an important factor affecting the treatment of MH.MH with a diameter >400 mm was defined as large MH.Pars plana vitrectomy (PPV) combined with internal limiting membrane (ILM) peeling or intravitreal gas tamponade, which can effectively relieve the traction of vitreoretinal interface, is the standard surgical technique for idiopathic full-thickness macular hole (FTMH), but its efficacy on refractory large FTMH is very limited.In order to obtain ideal anatomical healing and functional recovery of large FTMH, new surgical strategies, such as reversal of retinal internal limiting membrane (ILM), expanded removal of ILM, transplantation of different tissue valves, application of mesenchymal stem cells and so on, have been the focus of researchers in the field of fundus diseases.More targeted and personalized treatment is the development trend of treatment for large FTMH.The progress of ILM flipping surgery, expansion of ILM removal, transplantation of different tissue valves, biomaterials and other auxiliary techniques in the treatment of large diameter FTMH were reviewed in this article.
