Chirurgia ciała szklistego w leczeniu otworów w plamce
Vitreous Surgery in Macular Hole Treatment
Klinika Okulistyczna Wojskowego Instytutu Medycznego Centralnego Szpitala Klinicznego Wojskowej Akademii Medycznej w Warszawie Kierownik: prof. dr hab. n. med. Andrzej Stankiewicz
Summary: This article compares a management strategies in the diagnosis and a modern therapeutical approach to the macular holes treatment. Author presents a question problem from the first report to the present days. He adverts on essence of macular hole formation and it's therapeutic implications. He presents a gradation of macular holes based on Gass scale and a qualification system for the surgical management. He adverts on differentiation which sometimes cause difficulties for the ophthalmologists in their ambulatory work. It considers a surgical treatment possibility as only right procedure by perform a pars plana vitrectomy, which is effective but difficult, not without complication. It describes the operation technique in details, including internal limiting membrane (ILM) removal with descriptions and operation photos. At the end there is a results comparison with a qualification scale in relation to patient's visual acuity improvement treated by a vitrectomy through the ciliary body. It emphasized that a new technical achievements will improve surgical results in comparison to former reports on this topic.
Keywords: macular hole, pars plana vitrectomy, internal limiting membrane peeling.