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Jurnal Oftalmologi Indonesia

ISSN 1693-2587

Vol. 6 / No. 3 / Published : 2008-12

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Original Article :

Idiopathic macular hole

Author :

  1. Raden Gunawan Effendi*1
  2. Wimbo Sasono*2
  1. Departemen Ilmu Kesehatan Mata Fakultas Kedokteran UNAIR/RSU Dr. Soetomo Surabaya
  2. Departemen Ilmu Kesehatan Mata Fakultas Kedokteran UNAIR/RSU Dr. Soetomo Surabaya

Abstract :

Macular hole is a hole of full retinal thickness in the central foveal area with central scotoma and metamorphopsia. It is caused by tangensial or anteroposterior traction at foveal area. According to the theory, Gass made the classification of macular hole stadium; 1A ( impending hole), 1B ( impending or occult hole), 2, 3, and 4. The diagnose upheld from clinical inspection including visus, posterior segment with slitlamp biomicroscopy ( Watzke-Allen test, laser aiming beam) and the contact lens biomicroscopy; supporting inspection with Amsler grid, fundal fluorescein angiography (FFA), ultrasonography. Optical coherence tomography ( OCT) represent8 new appliance for diagnosing macular hole and other abnormality of the macula, as a gold standart. Recently the management of macular hole tends to surgical approach. Vitrectomy with internal limiting membrane peeling was indicated for full-thickness macular hole (2nd, 3rd, and 4th stadium). Sometimes,a substances which may stimulate cell repair on macular hole area, such as transforming growth factor-ß2 (TGF-ß2), autologous serum, autologous platelet concentrate (APC), collagen, thrombin-activated fibrinogen, plasmin, trombin and plasma-trombin, and tissue glue can be given.

Keyword :

macular hole, vitreous traction, OCT, internal limiting membrane peeling ,


References :



       


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