Abstract
Purpose. To present the surgical features of successful repair of macular hole with atypical epiretinal proliferation. Material and methods. A retrospective analysis of the treatment of 4 patients with macular hole-associated epiretinal proliferation. All patients underwent a preoperative examination – a standard ophthalmological examination, optical coherence tomography of the macular area with hole diameter measurement, confirmation of the presence of epiretinal tissue. Surgery consisted of the stages: vitrectomy, staining of the epiretinal tissue, its careful exfoliation with end-griping forceps, cutting off the floating part by a vitrector using «shaving» mode and preserving the remnants of the tissue around the edges of the hole, finishing with air tamponade. During the postoperative period the patient followed the «face down» position continuously for 3 hours. Results. In all cases the best corrected visual acuity (BCVA) increased and closure of the macular hole was achieved. Conclusions. 1. Surgical treatment of a macular hole with atypical epiretinal tissue has specific features that are not characteristic of the traditional treatment of an idiopathic macular hole. 2. The presence of a fixed perifoveal border of epiretinal tissue is an intraoperative feature. 3. Preservation of the perifoveolar border of epiretinal proliferation contributes to the closure of the macular hole without any additional mechanical manipulations or the use of biological adjuvants. 4. For a better understanding of the regenerative properties of epiretinal proliferation, it is necessary to increase the study sample, as well as to conduct histological studies of this tissue. Keywords: macular hole, epiretinal proliferation, atypical tissue, yellow tissue, perifovea corona phenomenon
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