Abstract

This literature review focuses on the surgical treatment of macular ruptures (MR). The article describes a traditional method of their treatment with the use of vitrectomy, peeling of the internal limiting membrane (ILM), tamponade of the vitreal cavity. To improve anatomical and functional results, as well as the safety of surgical treatment by reducing complications, the classical method was modified and several new approaches to the treatment of MR were developed. Literature reviews show that the surgical treatment by blocking small and medium-sized macular holes (MH) using various methods is highly effective. The problem remains in achieving the result and in a sufficiently large number of relapses after surgical treatment of large-diameter MR, in which methods of inverted flap or application of platelet-rich blood plasma have been used in recent years. Attention is also focused on the original method of surgical treatment of large macular ruptures with a lens capsule in complicated cataract. Unfortunately, there is currently no consensus on the choice of tactics for recurrent MH. In this regard, the development of new and more effective methods of closing large MR remains an urgent problem of vitreoretinal surgery. Keywords: retina, large-diameter macular ruptures, vitreoretinal surgery, efficacy, recurrent macular holes

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