SURGICAL TREATMENT OF IDIPATHIC MACULAR HOLES OF LARGE DIAMETER USING CONTRASTING SUSPENSION“VITREPCONTRAST” - A «FLOWER-BUD» TECHNIQUE

Abstract

There are various techniques of surgical treatment of idiopathic macular holes (IMH) of large diameter. These techniques have several drawbacks, which may condition the lack of IMH closure and hinder the achievement of maximum functional results.The objective is to evaluate the results of big dimension IMH treatment using a modified inverted flap technology with suspen-sion «Vitreoсontrast».Surgical treatment was conducted on 30 patients with IMH (diameter from 600 to 1400 microns). Internal limiting membrane (ILM) peeling was performed in «bud technique», named by the folding flower petals, where suspension «Vitreoсontrast» was used as a contrast agent and retention flap.Positive anatomical effect and functional improvement was achieved in all cases. ILM peeling technique, involving ILM fragmentation in flower petals shape using a suspension «Vitreoсontrast» as a contrast agent and for retention of ILM fragments in retinal hole provides an effective method of surgical treatment of big dimension IMH.