Abstract
The development of new, more effective methods for closing large macular holes remains an urgent problem in vitreoretinal surgery. Authors proposed a method for the surgical treatment of macular holes when this ophthalmopathology combined with cataract (RU Patent № 2731794), including vitrectomy, removal of posterior hyaloid membrane, imaging macular area within dye, internal limiting membrane peeling, flap formation from anterior lens capsule for macular hole closing during cataract phacoemulsification, flap transplanting to macular hole, followed by tamponade of the vitreal cavity, at first with perfluorocarbon, then replacing it to gas-air mixture. The article presents a clinical case of combined surgical treatment of cataract and large-diameter macular hole according to proposed method, which made it possible to achieve a good and stable morphofunctional result (macular hole closure 6 months after surgery, visual acuity increase to 0.4). Keywords: large-diameter macular hole, cataract, surgical treatment, anterior lens capsule, macular hole closure
Published Version
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