{"title":"难治性黄斑裂孔手术：近期手术创新综述。","authors":"Ryan S Meshkin, Dean Eliott","doi":"10.1097/IIO.0000000000000579","DOIUrl":null,"url":null,"abstract":"<p><p>After the first successful macular hole surgery performed by Kelly and Wendel in 1990, advances in surgical techniques and instrumentation have established pars plana vitrectomy with internal limiting membrane (ILM) peeling and gas tamponade as the gold standard for macular hole treatment. Closure rates are widely regarded as over 90% with this approach. In cases of persistent or recurrent full-thickness macular holes (FTMHs), new surgical techniques have been pioneered over the past decade for holes with worse prognosis related to size, chronicity, myopia, prior unsuccessful surgery, or other factors. This review aims to summarize the surgical developments, outcomes, and rationale for 3 techniques: the inverted ILM flap, amniotic membrane grafting, and autologous retinal transplantation.</p>","PeriodicalId":14338,"journal":{"name":"International Ophthalmology Clinics","volume":"65 3","pages":"17-25"},"PeriodicalIF":0.0000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Refractory Macular Hole Surgery: A Review of Recent Surgical Innovations.\",\"authors\":\"Ryan S Meshkin, Dean Eliott\",\"doi\":\"10.1097/IIO.0000000000000579\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>After the first successful macular hole surgery performed by Kelly and Wendel in 1990, advances in surgical techniques and instrumentation have established pars plana vitrectomy with internal limiting membrane (ILM) peeling and gas tamponade as the gold standard for macular hole treatment. Closure rates are widely regarded as over 90% with this approach. In cases of persistent or recurrent full-thickness macular holes (FTMHs), new surgical techniques have been pioneered over the past decade for holes with worse prognosis related to size, chronicity, myopia, prior unsuccessful surgery, or other factors. This review aims to summarize the surgical developments, outcomes, and rationale for 3 techniques: the inverted ILM flap, amniotic membrane grafting, and autologous retinal transplantation.</p>\",\"PeriodicalId\":14338,\"journal\":{\"name\":\"International Ophthalmology Clinics\",\"volume\":\"65 3\",\"pages\":\"17-25\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Ophthalmology Clinics\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1097/IIO.0000000000000579\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/7/2 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Ophthalmology Clinics","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1097/IIO.0000000000000579","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/7/2 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
Refractory Macular Hole Surgery: A Review of Recent Surgical Innovations.
After the first successful macular hole surgery performed by Kelly and Wendel in 1990, advances in surgical techniques and instrumentation have established pars plana vitrectomy with internal limiting membrane (ILM) peeling and gas tamponade as the gold standard for macular hole treatment. Closure rates are widely regarded as over 90% with this approach. In cases of persistent or recurrent full-thickness macular holes (FTMHs), new surgical techniques have been pioneered over the past decade for holes with worse prognosis related to size, chronicity, myopia, prior unsuccessful surgery, or other factors. This review aims to summarize the surgical developments, outcomes, and rationale for 3 techniques: the inverted ILM flap, amniotic membrane grafting, and autologous retinal transplantation.
期刊介绍：
International Ophthalmology Clinics is a valuable resource for any medical professional seeking to stay informed and up-to-date regarding developments in this dynamic specialty. Each issue of this quarterly publication presents a comprehensive review of a single topic in a new or changing area of ophthalmology. The timely, tightly focused review articles found in this publication give ophthalmologists the opportunity to benefit from the knowledge of leading experts in this rapidly changing field.
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