Retinal Detachment with Macular Hole
According to the observations of Machemer, “attraction forces” created by a continuous absorption of fluid by the pigmented epithelium keep the retina attached to the underlying planes. Following this observation, Machemer and Gonvers showed that a relaxing of any vitreo-retinal traction by vitrectomy makes possible the reattachment of a detached retina with macular hole. By relaxing traction on the retina, posterior scleral buckles and cryo or laser treatment can be avoided. Without scar adhesions, however, any tangential traction on the retina, even if it is not near the macular hole, can cause a new subretinal infiltration of fluid through the re-opened central hole.
KeywordsLaser Treatment Retinal Detachment Macular Hole Subretinal Fluid Central Retina
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