Amniotic Membrane Plug to Promote ChronicPost-Traumatic Macular Hole Closure

2019 ◽  
Vol 51 (1) ◽  
pp. 50-52 ◽  
Author(s):  
Tomaso Caporossi ◽  
Bianca Pacini ◽  
Lorenzo De Angelis ◽  
Stanislao Rizzo
Keyword(s):  
Macular Hole ◽  
Amniotic Membrane ◽  
Hole Closure

Use of Epimacular Amniotic Membrane Graft in Cases of Recurrent Retinal Detachment Due to Failure of Myopic Macular Hole Closure

2020 ◽  
Vol 51 (2) ◽  
pp. 101-108 ◽  
Author(s):  
Hossam M. Moharram ◽  
M. Tarek Moustafa ◽  
Hassan A. Mortada ◽  
Mohamed Farouk Abdelkader
Keyword(s):  
Retinal Detachment ◽  
Macular Hole ◽  
Amniotic Membrane ◽  
Myopic Macular Hole ◽  
Hole Closure

A Human Amniotic Membrane Plug to Promote Retinal Breaks Repair and Recurrent Macular Hole Closure

Retina ◽  
2019 ◽  
Vol 39 ◽  
pp. S95-S103 ◽  
Author(s):  
Stanislao Rizzo ◽  
Tomaso Caporossi ◽  
Ruggero Tartaro ◽  
Lucia Finocchio ◽  
Fabrizio Franco ◽  
...  
Keyword(s):  
Macular Hole ◽  
Amniotic Membrane ◽  
Human Amniotic Membrane ◽  
Retinal Breaks ◽  
Hole Closure

scholarly journals Human amniotic membrane plug to promote failed macular hole closure

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Tomaso Caporossi ◽  
Bianca Pacini ◽  
Daniela Bacherini ◽  
Francesco Barca ◽  
Francesco Faraldi ◽  
...  
Keyword(s):  
Macular Hole ◽  
Adaptive Optics ◽  
Amniotic Membrane ◽  
Functional Results ◽  
Human Amniotic Membrane ◽  
Partial Recovery ◽  
Ophthalmological Examination ◽  
Surgical Options ◽  
Anatomical Success ◽  
Hole Closure

Abstract The failed macular hole is a full-thickness defect involving the fovea that fails to close despite 1 or more surgeries. While many surgical options have been proposed to manage it, none of these guarantee complete anatomical success and satisfactory visual recovery. We report postoperative outcomes on 36 patients affected by failed macular hole, treated with a human amniotic membrane plug transplant. Follow-ups were performed with a standard ophthalmological examination and with advanced multimodal diagnostic imaging. Anatomical closure was achieved at 3 months in all patients. Mean best-corrected visual acuity improved statistically significantly at 6 months (p < 0.05). Through microperimetric tests, we assessed a partial recovery of the macular sensitivity on the edges of the plug. Analyzing SD-OCT images, we reported a tissutal ingrowth above the plug, and its segmentation into layers, mimicking normal retinal architecture. OCT-Angiography images non invasively analysed the retinal parafoveal capillary microvasculature; the elaboration of Adaptive Optics images showed the presence of photoreceptors at the edges of the plug. This work demonstrates not only the complete anatomical success of our technique, but also remarkable functional results, and opens the door to a greater understanding of modifications induced by the presence of a human amniotic membrane plug.

scholarly journals Refractory Myopic Retinal Detachment and Macular Hole Closure with Autologous Neurosensory Retinal Free Flap

2019 ◽  
Vol 10 (2) ◽  
pp. 160-164 ◽  
Author(s):  
Filipe Sousa Neves ◽  
Joana Braga ◽  
Paula Sepúlveda ◽  
Miguel Bilhoto
Keyword(s):  
Retinal Detachment ◽  
Macular Hole ◽  
Free Flap ◽  
Vision Loss ◽  
Silicone Oil ◽  
Modified Technique ◽  
Alternative Approach ◽  
Retinal Atrophy ◽  
One Year ◽  
Hole Closure

The purpose of this case report is to describe a modified technique involving the use of an autologous neurosensory retinal free flap for closure of a macular hole (MH) during retinal detachment (RD) surgery. A 50-year-old female presented with sudden vision loss (light perception only) and a recurrent myopic RD associated with an MH. An autologous neurosensory retinal free flap was obtained and moved toward the MH. Silicone oil was used as an endotamponade and removed after 6 months. Two months after oil removal visual acuity improved to 20/400 and remained stable thereafter; however, the patient developed central retinal atrophy. One year after surgery the MH was closed and the retina attached. This modified technique with the use of an autologous neurosensory retinal flap provides an alternative approach for recurrent MH in RD procedures.

scholarly journals Development of Stage 4 Macular Hole after Spontaneous Closure in a Patient with Stage 2 Macular Hole and a Lamellar Macular Hole-Associated Epiretinal Proliferation

2021 ◽  
pp. 481-484
Author(s):  
Masahisa Watanabe ◽  
Harumasa Yokota ◽  
Hiroshi Aso ◽  
Hirotsugu Hanazaki ◽  
Junya Hanaguri ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Macular Hole ◽  
Spontaneous Closure ◽  
Surgical Removal ◽  
Lamellar Macular Hole ◽  
Full Thickness ◽  
Stage 4 ◽  
Full Thickness Macular Hole ◽  
The Right ◽  
Hole Closure

Herein, we report the longitudinal observation of a case with reopening of the macular hole associated with a lamellar macular hole-associated epiretinal proliferation (LHEP) followed by spontaneous closure in patients with stage 2 idiopathic macular hole. A 64-year-old woman was referred for the decreased visual acuity (VA) and acute anorthopia in the right eye. Funduscopy and optical coherence tomography (OCT) showed stage 2 full-thickness macular hole without posterior vitreous detachment (PVD) and operculum formation. Her best-corrected visual acuity (BCVA) was 20/32. One month later, the diameter of the macular hole was getting small and VA improved. Six months later, the macular hole was treated spontaneously with the attached hyaloid membrane to the macula by OCT and the BCVA improved to 20/20. Fourteen months after the first visit, the BCVA decreased to 20/50 and the patient was diagnosed with stage 4 macular hole with complete PVD. OCT showed full-thickness macular hole with a LHEP in the right eye. After 25G-gauge vitrectomy with the peeling of internal limiting membrane (ILM) and LHEP, the macular hole was closed and BCVA finally improved to 20/25. Spontaneous macular hole closure without PVD may rarely occur in patients with LHEP. The surgical removal of ILM and LHEP may contribute to the successful macular hole closure after vitrectomy.

scholarly journals Autologous Lens Capsule Flap Transplantation for Persistent Macular Holes

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Sławomir Cisiecki ◽  
Karolina Bonińska ◽  
Maciej Bednarski
Keyword(s):  
Macular Hole ◽  
Functional Outcomes ◽  
Lens Capsule ◽  
Operative Techniques ◽  
Basal Diameter ◽  
Macular Holes ◽  
Capsular Flap ◽  
Potential Alternative ◽  
The Mean ◽  
Hole Closure

Purpose. To analyze the anatomical and functional outcomes after autologous lens capsule transplantation in patients with persistent macular hole. Methods. This is a retrospective observational study of five eyes of five patients treated with vitrectomy and autologous lens capsular flap transplantation. Complete ophthalmic examination was performed preoperatively and seven days and 1, 3, 6, 12, and 18 months after surgery. Results. Successful macular hole closure was achieved in all patients. The mean minimum macular hole diameter before the surgery was 666.8 µm, and the mean basal diameter was 1086.4 µm. The mean visual acuity before lens capsular flap transplantation was 20/200, while after surgery, it was 20/125. Conclusions. Autologous lens capsular flap transplantation is a potential alternative treatment for patients with large persistent macular holes after other operative techniques have failed.

scholarly journals Novel method of plugging the hole: Anatomical and functional outcomes of human amniotic membrane-assisted macular hole surgery

2020 ◽  
Vol 32 (4) ◽  
pp. 361
Author(s):  
Ramesh Venkatesh ◽  
NareshKumar Yadav ◽  
Sherina Thomas ◽  
Arpitha Pereira ◽  
KBhujang Shetty
Keyword(s):  
Macular Hole ◽  
Amniotic Membrane ◽  
Functional Outcomes ◽  
Human Amniotic Membrane ◽  
Macular Hole Surgery ◽  
Novel Method

Human amniotic membrane for failed macular hole. A case of initial unsuccessful outcome that resolved after amniotic membrane exchange

2021 ◽  
pp. 112067212110589
Author(s):  
Tomaso Caporossi ◽  
Lorenzo Governatori ◽  
Tommaso Verdina ◽  
Stanislao Rizzo
Keyword(s):  
Visual Acuity ◽  
Macular Hole ◽  
Amniotic Membrane ◽  
Sulfur Hexafluoride ◽  
Silicone Oil ◽  
Human Amniotic Membrane ◽  
Second Surgery ◽  
Myopic Macular Hole ◽  
Oil Injection ◽  
Membrane Patch

Introduction We described a case of initial unsuccessful outcome of failed macular hole treated with amniotic membrane, that resolved after amniotic membrane exchange and silicone oil injection. Case Description a woman affected by a high myopic macular hole that had failed to close after multiple surgeries, had been treated using an amniotic membrane graft and 20% sulfur hexafluoride but, after the gas reabsorption, the macular hole was still open, and the amniotic membrane. A second surgery with a second amniotic membrane patch and silicone oil was carried out. Two weeks after the procedure the macular hole closed, and the final visual acuity improved from 20/400 to 20/100. Conclusions In this case, a second surgery, using a new amniotic membrane graft and a longer-lasting endotamponade, closed the hole and improved the visual acuity.

Macular Hole Closure Following Intraoperative Choroidal Hemorrhage

2009 ◽  
Vol 40 (1) ◽  
pp. 57-59
Author(s):  
John O. Mason ◽  
Ami A. Shah ◽  
Rachel S. Vail
Keyword(s):  
Macular Hole ◽  
Choroidal Hemorrhage ◽  
Hole Closure
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