A macular hole is a full-thickness defect in the foveal neurosensory retina. The symptoms with which it is presented are reduced visual acuity, metamorphopsia, loss of central vision, and the appearance of central scotoma.
An operative approach in a patient with a stage 4 full-thickness macular hole according to the Gass classification is presented.
The operative treatment was carried out on a 65-year-old woman with complaints of greatly reduced visual acuity in the right eye and distortion of the images for several months. The research and diagnostic methods applied were the Amsler grid, biomicroscopy, ophthalmoscopy, optical coherence tomography (OCT). Pars plana vitrectomy (PPV), with peeling of the internal limiting membrane (ILM) and formation of a flap placed over the macular hole were performed. The vitreal cavity was filled with gas for intraocular tamponade—octafluoropropane (C3F8). The patient was followed up by examination of visual acuity and OCT at the first, third, and sixth postoperative months.
The results obtained after the selected operative approach showed an anatomical recovery of the macula and an increase in visual acuity.
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