Клинический случай хирургического лечения рецидивирующего макулярного разрыва на глазу с высокой степенью миопии

Abstract

Purpose. To present a clinical case of surgical treatment of recurrence of a more than once operated full-thikness macular hole in an eye with a high myopia. Material and methods. Patient L., born in 1948, with high myopia in both eyes (–9.00D), was previously operated on at another medical institution for a full-thikness macular hole in the right eye. From the anamnesis it is known that 3 unsuccessful surgical interventions were sequentially performed for a penetrating macular rupture of the right eye without achieving anatomical closure and relapses in the early postoperative period. In connection with the recurrence of a penetrating macular rupture, the patient underwent reoperation, taking into account the anatomical and morphological features of the myopic eye. Results. The study of clinical and morphofunctional results in the postoperative period revealed complete closure of the macular hole, anatomical restoration of the foveolar contour according to OCT data, and an increase in the objective vision of the operated eye. Conclusions. In the surgical treatment of the full-thikness macular hole in patients with a high myopia, it is necessary to take into account the anatomical and morphological features of the myopic eye. Improvement in the technique of macular surgery, the use of special tools and techniques for the complete removal of epiretinal membranes, peeling of the inner limiting membrane allows to achieve closure of the macular hole and obtain good anatomical and functional results in this category of patients. Keywords: full-thikness macular hole, platelet-rich plasma, internal limiting membrane