Surgery for bilateral macular hole (clinical case)

Idiopathic macular rupture is a rather rare pathology, occurring to a greater extent among the female population. Based on the above clinical case, the effectiveness of various methods of operative treatment of large and small diameter ruptures, as well as tactics and functional results after reconstitution in case of inefficiency of primary operative treatment of macular rupture are considered. Described is apatient with bilateral idiopathic macular hole in both eyes underwent a standard 3-port 25G vitrectomy with removal of the posterior hyaloid membrane, peeling of the internal limiting membrane and endotamponade with an airgas mixture. The condition of the right eye after 1 month required the 2nd stage of surgical treatment - revision of the vitreal cavity with a wider removal of the internal border membrane, the introduction of platelet mass and endotamponade of the vitreal cavity with silicone oil. After surgical treatment of the patient, both eyes achieved complete closure of the macular hole and increased visual acuity in both eyes.