Vitrectomy Fluid-Gas Exchange in the Treatment of Macular Hole

  • R. Tittarelli
  • S. Benedetti
  • P. K. Leaver
Conference paper
Part of the FIDIA Research Series book series (FIDIA, volume 2)


In the past retinal detachment (R.D.) by macular hole (M.H.) always presented considerable problems both from the surgical point of view and functional recovery. Many surgeons studied the results of the use of several techniques in order to solve these problems, but much too often these attempts were unsuccessful, as they presented a great number of intraoperative and postoperative complications, which were quite difficult to manage (1–5,7–22). Later on with the advent of vitrectomy, the pathogenesis of retinal detachment seemed to be connected with vitreous traction; when this concept was accepted it was quite easy to think of managing R.D. by M.H. with vitrectomy and internal tamponade (Gonvers, Machemer, Tittarelli-Benedetti).


Retinal Detachment Macular Hole Macular Area High Myope Subretinal Fluid 
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  1. 1.
    Aaberg TM, Blair CV and Gass J D M (1970): Macular holes. Am J Ophthal, 69:555.PubMedGoogle Scholar
  2. 2.
    Arruga H (1946): Chirurgia ocular. Salvat Edit, BarcellonaGoogle Scholar
  3. 3.
    Bagolini B and Peduzzi M (1979): Implant de silicone armé dans le tratement chirurgical du décollement de la rétine avec tou maculaire, F. F.O ., 161–163.Google Scholar
  4. 4.
    Bangerter A (1940): Operations methode zym Verschluss von Netzhautlochern am hinteren Augenpol in besonderen von Mculalochern. Ophthal, 100:351–354.CrossRefGoogle Scholar
  5. 5.
    Cattaneo D (1956): Fori maculari e distacco di retina. Boll. Ocular 35: 1029.Google Scholar
  6. 6.
    Gonvers M, Machemer R (1982): A new approach to treating retinal detachment with macular hole. Am J Ophthal, 94:468.PubMedGoogle Scholar
  7. 7.
    Guist G (1933): Die ablatio-operation mit Aetzkali und ihr weiterer Ausban, Kli Mbl Augenheilk, 90, 71.Google Scholar
  8. 8.
    Haut J, Lecoq PJ, Cley C, Limon S and Moschos M (1972): Traitement par époge en silicone elastique localisée et cryotherapie des décollements de rétine par trou maculaire, Arch. Ophtal, Paris, 32 – 8–9, 541–548.Google Scholar
  9. 9.
    Haut J (1980): Traitement chirurgical des decollements de rétine avec trou maculaire par la technique de la vitrectomie associé a la injection de silicone-liquid, J Fr Ophtal, vol. 3–2, 115–118.Google Scholar
  10. 10.
    Kloti R (1974): Silver clip for central retinal detachment with macular hole, Mod Probl Ophthal Basel 12, 330–336.Google Scholar
  11. 11.
    Leaver PK (1975): Macular hole and retinal detachment. Trans Ophthal Soc U.K. 95, pp. 145–147.’Google Scholar
  12. 12.
    Linder K (1932): Ueber eine neue Operations-methode fur Netzhaitabhebungen bei Netzhautadefekten am hinteren Augenpol, Graefes Arch J Ophthal, 128, 654.CrossRefGoogle Scholar
  13. 13.
    Mamoli L (1937): Un cas de décollement de la rétine avec trou de la macula. Tentative de thérapeutique transbulbaire. Ann Oculist, Paris 174, 309.Google Scholar
  14. 14.
    Margherio RR and Schepens CL (1972): Macular breaks. I Diagnosis etiology and observations. Am J Ophthal, 74, 219.Google Scholar
  15. 15.
    Margherio RR and Schepens CL (1972): Macular breaks II Managements, Am J Ophthal, 74, 233–240.PubMedGoogle Scholar
  16. 16.
    Meyer-Schwickerath G (1959): Indications and limitations of light-coagulations of the retina. Trans Am Acad Ophthal, Otolaring 63, 725.Google Scholar
  17. 17.
    Pannarale MR (1963): Techniques du traitement de décollements avec déchirurespostérieures colloque deu Club Gonin Amers foort 29 Avril 3 Mai 1963 (Mod Probl Ophtal, vol. 4).Google Scholar
  18. 18.
    Pannarale MR (1966): Techniques de traitement du décollement avec déchirures trés postérieures. Bibl. Ophtal, 70, 239.Google Scholar
  19. 19.
    Paufique L and Bonnet M (1966): Traitement du décollement de la rétine avec déchirure vraie de la macula par la technique de la “poche sclérale”. Bull Soc Opht de France, 9, 863–866.Google Scholar
  20. 20.
    Paufique L and Bonnet M (1968): Traitement du décollement de la rétine avec déchirure vraie de la macula par la technique de la “poche sclérale”. Ann Ocul, Paris, 201, 290–303.Google Scholar
  21. 21.
    Rosengreen B (1960): Indentation of the sclera by means of a silver ball in the surgical treatment of retinal detachment. Acta Ophthal (Kbh) 38, 109–114.CrossRefGoogle Scholar
  22. 22.
    Theodossiadis G (1982): Traitement du décollement de la rétine consécutif à un trou maculaire et sans aiilication d’aucune forme d’énergie. J Fr Ophtal 5, 6–7, 427–431.Google Scholar
  23. 23.
    Tittarelli R, Benedetti S, Valazzi CM (1982): Considerazioni sul trattamento chirurgico del distacco di retina da foro maculare, atti del LXII congresso della Società Italiana d’Oftalmologia (Roma, 3–5 dicembre 1982). Ed Pluri-Grafica Sicula, Messina, 187–191.Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1986

Authors and Affiliations

  • R. Tittarelli
    • 1
  • S. Benedetti
    • 1
  • P. K. Leaver
    • 2
  1. 1.University Eye ClinicAnconaItaly
  2. 2.Moorfields Eye HospitalLondonUK

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