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MH SURGERY [2 records]

Record 1 2026-03-25

English

Subject field(s)
  • Eye Surgery
CONT

When foveal detachment occurs in eyes with MF [myopic foveoschisis], surgery is necessary to prevent further deterioration. Vitrectomy and complete ILM peeling have been suggested to flatten the retina, but postoperative MH [macular holes] has been reported to occur in approximately 20% of cases. ILM peeling removes the Müller cone cells, which form the base of the fovea and serve as a plug that binds the photoreceptor cells in the foveola and supports the foveola structurally. The stretched retina in a highly myopic eye can easily induce a MH without this structure. To prevent postoperative MH, fovea-sparing ILM peeling was introduced. Studies have shown that this technique can prevent MH formation very effectively. A piece of ILM is preserved in the center of fovea to prevent damage to the Müller cone cells during surgery...

Key term(s)
  • fovea sparing internal limiting membrane peeling
  • fovea sparing ILM peeling

French

Domaine(s)
  • Chirurgie de l'œil
CONT

[...] la technique de pelage de la MLI avec épargne fovéolaire. Le pelage de la MLI est initié à distance du centre de la fovéa [...] Le pelage de la MLI est ensuite poursuivi jusqu'à ce que le volet se rapproche de la fovéa [...] Il est alors interrompu et initié à nouveau sur un nouveau site à distance du centre de la fovéa [...] Le pelage est poursuivi en répétant l'opération à chaque fois que le volet se rapproche de la fovéa, de façon à peler la MLI sur l'ensemble de la surface maculaire en épargnant le centre de la fovéa [...] Les reliquats de MLI sont disséqués puis coupés à l'aide du vitréotome [...]

CONT

Le pelage de limitante interne avec épargne fovéolaire comme technique chirurgicale [...] a notamment prouvé toute son efficacité dans le traitement des fovéoschisis du myope fort.

Spanish

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Record 2 2026-03-25

English

Subject field(s)
  • Eye Surgery
CONT

The surgical objective of macular hole surgery is two-fold. First, surgery intends to relieve tractional forces; second, it activates reparative healing mechanisms.

CONT

Since the technique introduced by Kelly and Wendel, MH surgery has been... based on extensive vitrectomy with PVD [posterior vitreous detachment], peeling of any EMM [epimacular membrane], thorough fluid-gas exchange, and postoperative face-down positioning of the patient.

French

Domaine(s)
  • Chirurgie de l'œil
CONT

La chirurgie du trou maculaire [...] est effectuée grâce au système transconjonctival 23 ou 25 gauges, ce qui permet d'améliorer le confort du patient tout en réduisant le temps chirurgical. La procédure chirurgicale combine une vitrectomie la plus complète possible, un échange fluide-gaz, le pelage de toute membrane épirétinienne, et un pelage de la membrane limitante associé à un positionnement post-opératoire si le diamètre du trou dépasse 400 microns.

Spanish

Save record 2

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