RETINAL Cases & Brief Reports | 2021
Autologous posterior capsule flap transplantation in the management of refractory macular hole in a pseudophakic eye.
Abstract
PURPOSE\nTo report a case of refractory macular hole (MH) in pseudophakic eye treated with autologous posterior capsule flaps (PCFs) transplantation.\n\n\nPATIENT\nA 48-year-old man visited our hospital with visual loss in the right eye due to unclosed MH. The patient had undergone two prior surgeries in another hospital, i.e. the first included a cataract surgery, vitrectomy, and internal limiting membrane peeling with sulfur hexafluoride (SF6) gas tamponade, and the second included massaging the edges of the MH with a soft-tipped flute needle followed by the same gas, but the MH remained open. In our hospital, PCFs were acquired from the same eye, inserted into the MH, and the same gas tamponade was performed, which was about four months after the disease onset (3 months after the prior second surgery). The patient kept face-down position for a week after the surgery and the MH was closed, which remained for over 12 months. The visual acuity improved from 20/250 to 20/60 and the retinal sensitivities around the MH gradually improved.\n\n\nCONCLUSION\nAn autologous PCFs transplantation was effective in the management of refractory MH to not only close the MH but also improve the visual outcomes.