Specialists from the Department of Pathology of the Cornea and the Vitreous Body, MD M.M. Umanets and ophthalmologist I.P. Dovhan, in their study, examined the choice of treatment strategy for the presence of a macular hole combined with a small-sized malignant neoplasm of the choroid of extrafoveolar localization.

A 56-year-old female patient visited the the Division of Vitreoretinal Microsurgery of the State Institution “The Filatov Institute of Eye Diseases and Tissue Therapy of the National Academy of Medical Sciences of Ukraine” with complaints of decreased vision in her left eye. After the examination, the diagnosis was: initial age-related cataract, macular and posterior pole degeneration, macular hole, malignant neoplasm of the choroid (uveal melanoma) in the left eye.

Considering the examination data, the presence of a macular hole, and the size of the uveal melanoma, a transscleral vitrectomy with removal of the internal limiting membrane (ILM) was performed to improve vision. A standard 25Ga subtotal vitrectomy of the central and peripheral parts of the vitreous body was performed, followed by detachment of the posterior hyaloid membrane by active aspiration with a vitrectome over the optic disc.

The use of other treatment methods (such as laser or radiation therapy) in the pre- and postoperative periods was not considered due to the likelihood of retinal tissue scarring, its shortening, and, consequently, the risk of non-closure of the macular hole.

For more details on the study, please refer to the link:

https://institut-filatova.com.ua/wp-content/uploads/2024/06/Tezy-FCh-2024.pdf