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54

A interface vítreo-retiniana

AVM, TVM e BM

25 Perguntas e respostas

Relativamente ao tratamento, e dada a ele-

vada taxa de resolução espontânea, a maio-

ria dos autores advoga uma atitude con-

servadora, estando a cirurgia normalmente

reservada para buracos maculares de es-

pessura completa. Isto é sobretudo válido

em doentes com poucas queixas visuais e/

ou em que o olho adelfo é normal

5,8

. Mais

recentemente e com o advento da vitreólise

enzimática, menos invasiva, tornou-se ra-

zoável o tratamento mais precoce de doen-

tes sintomáticos com

impending macular

hole

ou TVM em que as queixas visuais se-

jam relevantes

7,9

.

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