METHOD FOR SURGICAL TREATMENT OF PRIMARY PENETRATING MACULAR RETINAL RUPTURE WITH PRESERVATION OF THE INNER LIMITING MEMBRANE IN THE PROJECTION OF THE PAPILLOMACULAR BUNDLE OF NERVE FIBERS Russian patent published in 2023 - IPC A61F9/07 

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely to ophthalmology. Vitrectomy is performed, the ILM section is removed, the point of visual fixation is preserved. After vitrectomy and staining of the ILM in the area of the retina between the superior temporal and inferior temporal vascular arcades at a distance of one diameter of the optic disc from the edge of the MP concentrically to the macular hole, the ILM is removed in successive rounded fragments so as to remain intact: the band of the ILM along the border of the macular hole with a width of 0.5 mm. Inverted ILM flap with a width corresponding to the diameter of the macular hole in combination with the width of the concentric rim of the ILM that encircles it, and a length of at least one diameter of the optic disc, but not reaching the superior temporal arcade, located perpendicular to the line connecting the centers of the macular hole and the optic disc, in the direction of the superior temporal arcade. ELM flap in the area of the papillomacular bundle (PB) of the nerve fibers of the ON between the macular hole and the optic disc, the upper border of which runs along a tangent connecting the edge of the ONH and the edge of the belt of the ILM along the border of the macular hole, from the side of the superior temporal vascular arcade, and the lower border of which runs along a tangent, connecting the edge of the ONH and the edge of the ILM belt along the border of the macular hole, from the side of the inferior temporal vascular arcade. After removal of the ILM, the inverted ILM flap is separated from the retina, keeping its attachment along the edge of the ILM band around the macular hole, it is turned over and the macular hole is covered with it, plugging it. Then the liquid is replaced with an air mixture, while the liquid is removed from the side of the free edge of the inverted ILM flap.

EFFECT: method allows minimizing the risk of intraoperative trauma to the zone of the papillomacular bundle of retinal nerve fibers with the surgeon's instruments and remote pathological changes in this zone, maintaining visual fixation points along the edge of the tear, closing the macular hole with restoring the normal anatomy of the retina at the site of the macular hole, no need to use long-term absorbable gases , no need to position the patient face down, high functional result of surgical treatment, no recurrence of the disease in the long term.

1 cl, 1 ex