The aim of the study was to study the etiological and morphological features of large macular ruptures. The present study included 200 eyes (188 patients) who were diagnosed with a large macular rupture at initial examination. 96 eyes (48%) were diagnosed with stage 3, the remaining 104 eyes (52%) were diagnosed with stage 4 macular rupture. Large macular tears in 55.5% of cases are due to vitreomacular traction syndrome, in 24.5% of cases - myopia and in 20% of cases - eye trauma. Macular tears of various etiologies do not differ in visual acuity, intraocular pressure, diameter and stage of the rupture, duration of the disease. Macular rupture is associated with cataract in 51.5% of cases.
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