A Modified Perfluoro-n-octane-Assisted Autologous Internal Limiting Membrane Transplant for Failed Macular Hole Reintervention: A Case Series


ÖZDEK Ş., Baskaran P., Karabas L., Neves P. P.

OPHTHALMIC SURGERY LASERS & IMAGING RETINA, cilt.48, sa.5, ss.416-420, 2017 (SCI-Expanded) identifier identifier identifier

Özet

The authors describe a modified perfluoro- n-octane (PFO)-assisted autologous internal limiting membrane (ILM) transplantation technique for macular hole (MH) reintervention and present results from a series of 11 patients. The authors harvested a free ILM flap and transplanted it into the MH under a PFO bubble. The time at which PFO is injected, the extent of coverage of PFO, and the sequence of fluid-air exchange (FAE) are crucial to overcome previously described technical difficulties of relieving the flap from forceps, stabilizing the flap into the MH, and prevention of flap dislodgement during FAE. A successful U-shaped closure was observed in 10 of 11 cases (90.9%). One case (9.1%) showed flat open closure. The postoperative visual gain was statistically significant (P =.01).