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Autologous neurosensory retinal flap for closure of refractory macular hole in a patient with macular telangiectasia.


ABSTRACT:

Purpose

This study explores autologous neurosensory autograph for a patient with a chronic full-thickness macular hole (FTMH) and idiopathic macular telangiectasia type 2 (IMT2).

Observations

The patient had a chronic 1355 ?m FTMH and best corrected visual acuity (BCVA) of 2 logMAR units after two unsuccessful attempts to close the macular hole. Following a 25-gauge vitrectomy, a 2-disc diameter neurosensory autograft from the supertemporal retina was mobilized and secured with perfluoro-N-octane (PFO) tamponade. After being postured supine for one week, the PFO was exchanged for silicone oil. Two months later, silicone oil was exchanged for 20% sulphur hexafluoride (SF6).

Conclusions and importance

The graft achieved anatomical and functional success with BCVA of 0.6 logMAR units. This case supports autologous neurosensory autograph as a technique for achieving closure of chronic macular holes refractory to conventional treatment.

SUBMITTER: Hewson A 

PROVIDER: S-EPMC7083780 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature

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Publications

Autologous neurosensory retinal flap for closure of refractory macular hole in a patient with macular telangiectasia.

Hewson Andrew A   McAllister Andrew A   Reddie Ian I  

American journal of ophthalmology case reports 20200307


<h4>Purpose</h4>This study explores autologous neurosensory autograph for a patient with a chronic full-thickness macular hole (FTMH) and idiopathic macular telangiectasia type 2 (IMT2).<h4>Observations</h4>The patient had a chronic 1355 μm FTMH and best corrected visual acuity (BCVA) of 2 logMAR units after two unsuccessful attempts to close the macular hole. Following a 25-gauge vitrectomy, a 2-disc diameter neurosensory autograft from the supertemporal retina was mobilized and secured with pe  ...[more]

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