Surgical Management of Recurrent and Persistent Macular Holes: A Practical Approach

被引：10

作者：

Cao, Jessica L. ^{[1
]}

Kaiser, Peter K. ^{[1
]}

机构：

[1] Cleveland Clin, Cole Eye Inst, 9500 Euclid Ave,i-32, Cleveland, OH 44195 USA

来源：

OPHTHALMOLOGY AND THERAPY | 2021年 / 10卷 / 04期

关键词：

ILM; Macular hole; Surgery; Vitrectomy; INTERNAL-LIMITING MEMBRANE; HUMAN AMNIOTIC MEMBRANE; AUTOLOGOUS PLATELET CONCENTRATE; CAPSULAR FLAP TRANSPLANTATION; POPULATION-BASED INCIDENCE; RISK-FACTORS; VITREOUS SURGERY; ILM PEEL; OUTCOMES; EYE;

D O I：

10.1007/s40123-021-00388-5

中图分类号：

R77 [眼科学];

学科分类号：

100212 ;

摘要：

Primary surgery for macular hole (MH) closure has a high success rate with current methods of pars plana vitrectomy and internal limiting membrane (ILM) peeling. When primary surgery fails, there are several options available for secondary repair, including extension of the ILM peel, creation of an ILM flap, pedunculated ILM flap, lens capsule flap transplantation, autologous retinal transplantation, use of a human amniotic membrane plug, adjuvant autologous platelet concentrate, induction of macular detachments with subretinal blebs, and creation of retinal incisions. In this review, we discuss the practical approach to each of these surgical techniques for the management of recurrent or persistent MHs.

引用

页码：1137 / 1153

页数：17

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