Resumen

HERNANDEZ MARTINEZ, Rocío et al. New trends in the surgical management of macular holes. Rev Cubana Oftalmol [online]. 2018, vol.31, n.1, pp.123-131. ISSN 0864-2176.

ABSTRACT A macular hole is a disorder of the vitreous-retina interface defined as a full-thickness defect from the internal limiting membrane to the external segments of photoreceptors which typically involves the fovea. It is more common among women aged over 55 years, and there is a 10-15% risk that the contralateral eye is affected. As life expectancy increases, new challenges come up and new surgical techniques are required for this health problem. A review was conducted of papers published and indexed in the database PubMed which referred to the optical coherence tomography classification and characteristics of macular holes, as well as the therapeutic options to treat it. New surgical techniques have been described for idiopathic macular holes. Introduction of optical coherence tomography, especially spectral domain OCT, has increased the diagnostic possibilities of the treatment and follow-up of vitreous-retina interface disorders, particularly macular holes.

Palabras clave : macular hole; vitrectomy for macular hole; internal limiting membrane peeling; inverted internal limiting membrane flap technique.

        · resumen en Español     · texto en Español     · Español ( pdf )