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.
Highlights
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
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
Macular hole after posterior hyaloid membrane separation and removal: PHM remnants at the tear's left edge are seen on the upper horizontal scan, the neuroepithelium layer is at least 200 microns below it b
Summary
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. 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. 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. Техника удаления мембран без окрашивания предъявляет к хирургу высокие требования по распознаванию структур витреомакулярного интерфейса. «Тонким местом» данной операции является контроль за тотальностью удаления всех мембран интерфейса непосредственно в процессе выполнения операции. Представляющая собой синтез ОКТ высокого разрешения и операционного микроскопа, является тем необходимым звеном, которое может осуществить интраоперационный контроль удаления прозрачных мембран в ходе хирургического вмешательства [4, 5]
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