The concept of the foveola anatomical reconstruction in the surgical treatment of full-thickness macular tears using intraoperative OCT control

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Abstract

Background. The concept of foveola anatomical reconstruction in surgical treatment of macular holes is a minimally invasive approach based on sparing principles of visualization and removal of transparent structures.

Purpose. To estimate the practical value of high-resolution intraoperative OCT control (IOСT) at surgical treatment of macular holes.

Materials and methods. The study included 95 patients (95 eyes) with macular holes from 400 to 900 microns in diameter, being during the period from September 2015 to October 2016.

Results. IOСT control increases the anatomical and functional success of macular hole surgery, allowing determining more accurately the vitreomacular interface anatomical structures during the procedure and making more precise choice of tamponade agent to the end of it.

Conclusion. The proposed foveola anatomical reconstruction in surgical treatment of full-thickness macular holes enhanced by intraoperative OCT control provides high functional and anatomic postoperative retinal indices.

About the authors

Jaroslav V. Bayborodov

Sv. Fyodorov Eye Microsurgery Federal State Institution; North-Western State Medical University named after I.I. Mechnikov

Author for correspondence.
Email: Yaroslavvitsug@rambler.ru

MD, PhD, head of surgical department

Russian Federation, Saint Petersburg

References

  1. Байбородов Я.В., Балашевич Л.И. Концепция анатомической реконструкции фовеолы в хирургии макулярных разрывов с использованием интраоперационного ОКТ-контроля. Сборник «Макула-2016». – 2016. – С. 283–294. [Bajborodov JaV, Balashevich LI. Koncepcija anatomicheskoj rekonstrukcii foveoly v hirurgii makuljarnyh razryvov s ispol’zovaniem intraoperacionnogo OKT-kontrolja. Sbornik “Makula-2016”. 2016. P. 283-294. (In Russ.)]
  2. Байбородов Я.В. Интраоперационная оптическая когерентная томография высокого разрешения в щадящей хирургии патологии витреомакулярного интерфейса // Современные технологии в офтальмологии. – 2016. – № 1. – С. 28–30. [Bajborodov JaV. Intraoperacionnaja opticheskaja kogerentnaja tomografija vysokogo razreshenija v shhadjashhej hirurgii patologii vitreomakuljarnogo interfejsa. Sovremennye tehnologii v oftal’mologii. 2016;(1):28-30. (In Russ.)]
  3. Байбородов Я.В. Сравнительная эффективность микроинвазивной хирургии макулярных разрывов диаметром 400 мкм с ксеноновым и ртутным светом // Вестник Оренбургского государственного университета. – 2011. – № 14. – С. 49–50. [Bajborodov JaV. Sravnitel’naja jeffektivnost’ mikroinvazivnoj hirurgii makuljarnyh razryvov diametrom 400 mkm s ksenonovym i rtutnym svetom. Vestnik Orenburgskogo gosudarstvennogo universiteta. 2011;(14):49-50. (In Russ.)]
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  6. Патент РФ на изобретение № RU02409332 C2/ 20.01.2011. Байбородов Я.В., Балашевич Л.И. Способ хирургического лечения макулярных разрывов. [Patent RUS No RU02409332 C2/ 20.01.2011. Bajborodov JaV, Balashevich LI. Sposob hirurgicheskogo lechenija makuljarnjih razrjivov. (In Russ.)]

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