Experience of surgical treatment of recurrent macular rupture developed in post-operation period

Purpose: evaluate the effectiveness of surgical treatment of recurrent operated macular rupture. Material and Methods. The study included 10 patients (10 eyes) with recurrent macular rupture. In 8 out of 10 cases, the macular hole was closed using the inverted internal limiting membrane (ILM) flap technique; in 2 cases — using mechanical convergence of the edges of the rupture. Preoperative vision varied from 0.05 to 0.1–0.2. According to optical coherent tomography, the average rupture diameter ranged from 600 to 800 μm and in one case was 1144 μm. Results. In all cases, an anatomical result was obtained. During ILM application, the most effective anatomical result was obtained in 5 cases with preservation of the neuroepithelium; in 2 cases the retina in the fovea was thinned. In these cases, there was an improvement in visual functions 1–3 months after the surgery. In 3 cases, there was an incomplete closure of the macular hole. In 1 case, the defect remained at the level of ellipsoid zone of retinal photoreceptors; in 2 cases, there was a deformation of the retinal fovea with the destruction of photoreceptor ellipsoid zone. Visual functions remained unchanged. Conclusion. The use of the described inverted ILM flap technique in surgery of recurrent operated macular rupture serves to increase the effectiveness of treatment.