Treatment Paradigm for Vitreo-macular Interface Diseases

Part of the Essentials in Ophthalmology book series (ESSENTIALS)


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.


Retinal Nerve Fibre Layer Macular Hole Epiretinal Membrane Posterior Vitreous Detachment Foveal Thickness 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



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Online Document (No DOI Available)

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Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  1. 1.Department of Biomedical and Clinical Science “Luigi Sacco”, Eye Clinic, Sacco HospitalUniversity of MilanMilanoItaly

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