Editorial
Macular holes
a diagnostic and therapeutic enigma?
| The first 150 words of the full text of this article appear below. |
In previous times diagnosis of a macular hole appeared to be easily done by biomicroscopy or just by ophthalmoscopy. It was a comparatively rare diagnosis without therapeutic relevance. It is only 10 years ago that specific diagnostic criteria were set to consider surgical intervention.1 Further studies have established the usefulness of vitreoretinal surgery for macular holes. Macular hole is now a common diagnosis, affecting almost 3% of the elderly population. However, diagnostic and therapeutic details remain an enigma.
Today, two types of surgical intervention are used to treat macular
holes. One is to perform vitrectomy, remove the vitreous cortex, apply
some sort of biological chorioretinal glue2 over the
macula, and finally to fill the vitreous cavity with a long lasting gas
bubble, tamponading the macular hole with the patient in a prone
position. The "biological glue" in use may be transforming growth
factor 
, autologous serum or plasma, platelet concentrates, thrombin,
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Relevant Article
- Fundus autofluorescence in patients with macular holes imaged with a laser scanning ophthalmoscope
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[Abstract] [Full Text]
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