Modern notions about the tactics of treatment of patients with non-full thickness macular holes: to observe or to operate?

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Abstract

In this review, the opinions of different authors on the problem of non-full thickness macular holes are discussed in detail. Currently, there are three different approaches to the management of this condition. Dynamic observation allows assessing the degree of their progression, to determine some or other anatomical indicators which influence the functional state of the retina and visual function. Pharmacological vitreolysis in some cases allows eliminating vertical and tangential traction in a least invasive mannor. To resolve this problem in a radical way is possible by surgical treatment – posterior vitrectomy, but this is also related to certain surgical risks, and does not always lead to an increase in visual acuity. As a rule, it is recommended to patients with a significant decrease in visual acuity. Currently, indications for surgical treatment of patients with high visual function are ambiguous.

About the authors

Konstantin S. Zhogolev

Saint Petersburg Branch of the S. Fyodorov Eye Microsurgery Federal State Institution

Author for correspondence.
Email: ksjogolev@rambler.ru
ORCID iD: 0000-0002-4547-4117

MD, Ophthalmologist of the 7th Ophthalmology Department, Ophthalmic Surgeon of the Department of Vitreoretinal Surgery

Russian Federation, Saint Petersburg

Yaroslav V. Bayborodov

Saint Petersburg Branch of the S. Fyodorov Eye Microsurgery Federal State Institution; North-Western State Medical University named after I.I. Mechnikov

Email: yaroslavvitsug@rambler.ru

PhD, Head of the 7thOphthalmology Department, Ophthalmic Surgeon of the Vitreoretinal Surgery Department

Russian Federation, Saint Petersburg

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