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Diseases of the Vitreo-Macular Interface pp 83–94Cite as

Treatment Paradigm for Vitreo-macular Interface Diseases

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Part of the book series: Essentials in Ophthalmology ((ESSENTIALS))

Abstract

Vitrectomy and ILM peeling is currently the “gold standard” of treatment in the heterogeneous variety of vitreo-macular interface diseases. Timing of surgery is essential to reduce the risk of bad results, and waiting should be sometime the best option. During surgery, deciding to peel or not to peel, to use an endo-ocular tamponade or not and which tamponade is the best for that patient in that moment is always challenging for surgeons. After surgery, positioning the patient in the uncomfortable facedown position should be considered part of the best treatment available, but is it always necessary? Trying to give the best advice for all these questions, here we present the paradigm of surgery for epiretinal membranes, macular holes, lamellar macular holes and vitreo-macular traction syndrome, the most frequent vitreo-macular interface diseases.

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Authors and Affiliations

  1. Department of Biomedical and Clinical Science “Luigi Sacco”, Eye Clinic, Sacco Hospital, University of Milan, Milano, Italy

    Matteo Cereda MD

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  1. Matteo Cereda MD
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Correspondence to Matteo Cereda MD .

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  1. ThromboGenics NV, Leuven, Belgium

    Aniz Girach

  2. Clinique de Montchoisi, Lausanne, Switzerland

    Marc D. de Smet

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Dr Cereda has no conflict of interest.

No animal or human studies were carried out by the author for this chapter.

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Cereda, M. (2014). Treatment Paradigm for Vitreo-macular Interface Diseases. In: Girach, A., de Smet, M. (eds) Diseases of the Vitreo-Macular Interface. Essentials in Ophthalmology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-40034-6_9

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  • DOI: https://doi.org/10.1007/978-3-642-40034-6_9

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