Combined surgery for large macular hole in complicated cataract: case report

Q4 Medicine

Russian Journal of Clinical Ophthalmology Pub Date : 2023-01-01 DOI:10.32364/2311-7729-2023-23-3-7

M. Bikbov, O. I. Orenburkina, A. A. Zinnatullin, A. L. Yarmukhametova, M. R. Kalanov, A. Babushkin

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Abstract

The only effective treatment for macular holes (MH) is surgery. Published data demonstrate that surgery (vitrectomy, internal limiting membrane/ILM peeling, and vitreous tamponade) of small and medium MHs is usually highly effective. Meanwhile, good outcomes and a high recurrence rate of large MHs postoperatively remain challenges. The authors propose a surgical technique for MHs in complicated cataracts (patent of the RF No. 2731794 dated 09/08/2020) that involves vitrectomy, posterior hyaloid removal, ILM staining, ILM peeling, formation of a flap from the anterior lens capsule to close MH, and air tamponade. This paper describes a woman who underwent combined surgery for cataract and MH as described. The technique provided a complete and stable anatomical outcome. After 1 month (i.e., after complete resorption of air), the best-corrected visual acuity of the right eye increased to 20/40. IOP was 19.0 mm Hg. KEYWORDS: vision, idiopathic macular hole, retina, anterior les capsule, surgery, postoperative follow-up. FOR CITATION: Bikbov M.M., Orenburkina O.I., Zinnatullin A.A., Yarmukhametova A.L., Babushkin A.E., Kalanov M.R. Combined surgery for large macular hole in complicated cataract: case report. Russian Journal of Clinical Ophthalmology. 2023;23(3):152–156 (in Russ.). DOI: 10.32364/2311-7729-2023-23-3-7.

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复杂白内障大黄斑孔联合手术1例

唯一有效的治疗黄斑孔(MH)是手术。已发表的数据表明，手术(玻璃体切除术、内限制膜/内膜剥离和玻璃体填塞)治疗中小型MHs通常是非常有效的。同时，大mhhs术后良好的预后和高复发率仍然是一个挑战。作者提出了一种治疗复杂白内障中MH的手术技术(RF专利号2731794，日期为2020年9月8日)，包括玻璃体切除术、后玻璃体去除、ILM染色、ILM剥离、前晶状体囊形成皮瓣关闭MH和空气填塞。本文描述了一位接受白内障和MH联合手术的妇女。该技术提供了一个完整和稳定的解剖结果。1个月后(即空气完全吸收后)，右眼最佳矫正视力提高至20/40。关键词:视力，特发性黄斑孔，视网膜，前眼囊，手术，术后随访。引用本文:Bikbov m.m.， Orenburkina O.I, Zinnatullin a.a.， Yarmukhametova a.l.， Babushkin a.e.， Kalanov M.R.。联合手术治疗复杂白内障大黄斑孔一例。俄罗斯临床眼科学杂志。2023;23(3):152-156。DOI: 10.32364 / 2311-7729-2023-23-3-7。

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