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Macular holes—a diagnostic and therapeutic enigma?
  1. University Eye Clinic, Munich

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    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, …

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