Autologous neurosensory retinal free patch transplantation for persistent full-thickness macular hole

被引:21
作者
De Giacinto, Chiara [1 ]
D'Aloisio, Rossella [1 ]
Cirigliano, Gabriella [1 ]
Pastore, Marco Rocco [1 ]
Tognetto, Daniele [1 ]
机构
[1] Univ Trieste, Eye Clin, Dept Med Surg & Hlth Sci, Piazza Osped 1, I-34129 Trieste, Italy
关键词
Idiopathic macular hole; Persistent macular hole; 27-gauge vitrectomy; Autologous neurosensory retinal free patch; Optical coherence tomography; INTERNAL LIMITING MEMBRANE; SURGERY; OUTCOMES; FLAP;
D O I
10.1007/s10792-018-0904-4
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
PurposeTo evaluate anatomical and functional outcomes after autologous neurosensory retinal free patch (ANRFP) transplantation for persistent idiopathic full-thickness macular hole (iFTMH).MethodsA 65-year-old woman with persistent macular hole in her right eye after previous 27-gauge pars plana vitrectomy with internal limiting membrane peeling and long-acting gas tamponade underwent ANRFP transplantation. Before surgery, best corrected visual acuity in her right eye was 20/800. Optical coherence tomography (OCT) showed a 715-micron-diameter FTMH. To treat the persistent FTMH, a small autologous neurosensory retinal patch was transplanted and placed inside the macular hole under perfluorocarbon liquids (PFCL). PFCL-air exchange was performed, and long-acting gas tamponade was carried out. Clinical features of the macular area, visual acuity (VA), fundus autofluorescence, microperimetry and OCT were recorded during the 10-month follow-up.ResultsThe macular hole appeared successfully closed with retinal patch stable and well plugged into the hole during the whole follow-up. VA improved to 20/100 and microperimetry revealed an increase in mean retinal sensitivity from 14.7dB at 1month to 15.6dB at 10months postoperatively. OCT showed a well-distinguishable retinal patch into the hole 1month after surgery and a completely integrated retinal patch between the retinal layers 10months postoperatively. No intra- and postoperative complications were noticed.ConclusionsANRFP transplantation may represent an innovative technique for persistent iFTMH treatment.
引用
收藏
页码:1147 / 1150
页数:4
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