Modern technologies in ophtalmology | 2021
Management of refractory macular hole: a case report
Abstract
Purpose. Evaluation of the results of the use of Autologous Conditioned Plasma in Management refractory macular hole. Materials and methods. We examined рatient B., 56 years old, with a refractory macular hole (MH), which did not close after two operations. Earlier, the patient underwent cataract phacoemulsification with IOL implantation. Along with traditional methods of examination, optical coherence tomography was performed. Before the operation, Autologous Conditioned Рlasma (ACP) was prepared by centrifuging the patient s blood. After removing the silicone oil, the AСР was injected of the MH zone. The operation was completed with a gas-air tamponade. After the operation, recommended position was face down for a day. Results. In the early postoperative period, during biomicroscopy, MH was closure. 2 weeks after surgery, on optical coherence tomography (OCT) there MH was closure. Her best-corrected visual acuity (BCVA) the maximum corrected was 0.01 to 0.15. Patient said about the improvement in the quality of vision and a decrease in metamorphopsies. Conclusion. The use of AСР in the Management of refractory MH is an effective method with good anatomical and functional results. Keywords: refractory macular hole, Autologous Conditioned Plasma, optical coherence tomography, anatomical result.