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

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...

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Autores principales: Cao, Jessica L., Kaiser, Peter K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Healthcare 2021
Materias:
Practical Approach
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8589910/
https://www.ncbi.nlm.nih.gov/pubmed/34494236
http://dx.doi.org/10.1007/s40123-021-00388-5
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author Cao, Jessica L.
Kaiser, Peter K.
author_facet Cao, Jessica L.
Kaiser, Peter K.
author_sort Cao, Jessica L.
collection PubMed
description 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.
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spelling pubmed-85899102021-11-23 Surgical Management of Recurrent and Persistent Macular Holes: A Practical Approach Cao, Jessica L. Kaiser, Peter K. Ophthalmol Ther Practical Approach 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. Springer Healthcare 2021-09-07 2021-12 /pmc/articles/PMC8589910/ /pubmed/34494236 http://dx.doi.org/10.1007/s40123-021-00388-5 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by-nc/4.0/Open Access This article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, which permits any non-commercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Practical Approach
Cao, Jessica L.
Kaiser, Peter K.
Surgical Management of Recurrent and Persistent Macular Holes: A Practical Approach
title Surgical Management of Recurrent and Persistent Macular Holes: A Practical Approach
title_full Surgical Management of Recurrent and Persistent Macular Holes: A Practical Approach
title_fullStr Surgical Management of Recurrent and Persistent Macular Holes: A Practical Approach
title_full_unstemmed Surgical Management of Recurrent and Persistent Macular Holes: A Practical Approach
title_short Surgical Management of Recurrent and Persistent Macular Holes: A Practical Approach
title_sort surgical management of recurrent and persistent macular holes: a practical approach
topic Practical Approach
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8589910/
https://www.ncbi.nlm.nih.gov/pubmed/34494236
http://dx.doi.org/10.1007/s40123-021-00388-5
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