Etiology, pathogenesis, and classification of and current methods of treatment for idiopathic macular holes: a review

Authors

  • Zoya Rozanova SI "The Filatov Institute of Eye Diseases and Tissue Therapy of the NAMS of Ukraine"
  • I.P. Dovgan Filatov Institute of Eye Disease and Tissue Therapy, NAMS of Ukraine
  • Ines Buallagui Filatov Institute of Eye Disease and Tissue Therapy, NAMS of Ukraine
  • M.M. Umanets Filatov Institute of Eye Disease and Tissue Therapy, NAMS of Ukraine

DOI:

https://doi.org/10.31288/oftalmolzh202315260

Keywords:

idiopathic macular hole, vitrectomy, ILM peeling

Abstract

This review highlights the surgical treatment of idiopathic macular holes (IMHs). The paper aimed to review (1) the current methods of treatment for IMHs and (2) the prognosis for postoperative hole closure. IMHs are anatomic defects in the fovea resulting in central vision loss. Particular attention was given to studies on the etiology, pathogenesis, and classification of and current methods of treatment for IMHs. Tangential vitreous traction plays a key role in macular hole development. Macular holes are classified based on retinal slit-lamp biomicroscopy and optical coherence tomography findings. Although the available armamentarium of vitreoretinal surgeons includes a variety of techniques for treating IMHs of any size, there is no universal approach for selecting the optimal hole closure technique. Fovea-sparing techniques are feasible options for the treatment of IMHs and allow avoiding certain morphological and functional changes typical of conventional internal limiting membrane (ILM) peeling.

Author Biographies

Zoya Rozanova, SI "The Filatov Institute of Eye Diseases and Tissue Therapy of the NAMS of Ukraine"

Відділення вітреоретинальної та лазерної мікрохірургії, ДУ «Інститут очних хвороб і тканинної терапії ім. В. П. Філатова НАМН України», м. Одеса, Україна

I.P. Dovgan , Filatov Institute of Eye Disease and Tissue Therapy, NAMS of Ukraine

Intern Physician

Ines Buallagui, Filatov Institute of Eye Disease and Tissue Therapy, NAMS of Ukraine

Post-graduate Student

M.M. Umanets, Filatov Institute of Eye Disease and Tissue Therapy, NAMS of Ukraine

Відділення вітреоретинальної та лазерної мікрохірургії

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2023-02-28

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Rozanova Z, Dovgan I, Buallagui I, Umanets M. Etiology, pathogenesis, and classification of and current methods of treatment for idiopathic macular holes: a review. J.ophthalmol. (Ukraine) [Internet]. 2023 Feb. 28 [cited 2024 Nov. 21];(1):52-60. Available from: http://ua.ozhurnal.com/index.php/files/article/view/10

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No. 1 (2023): Journal of Ophthalmology (Ukraine)

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Literature Review

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