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Published on: July 22, 2022
Contralateral Autologous Internal Limiting Membrane Transplantation for Closure of a Refractory Macular Hole:
Background And Objective:
To determine the efficacy of a new surgical technique involving use of a contralateral autologous internal limiting membrane (ILM) free flap for closure of a refractory macular hole (MH).
Patients And Methods:
Closure could not be achieved after several MH surgeries in a 72-year-old woman with an epiretinal membrane (ERM) in the right eye and a chronic MH in the left eye. Therefore, the authors performed surgery on the left eye using a contralateral autologous ILM free flap obtained during ERM surgery performed on the right eye.
Results:
The refractory MH had disappeared, and the patient's corrected visual acuity was improved in both eyes by 4 months after surgery.
Conclusion:
When a suitable free flap cannot be obtained from the operated eye, contralateral autologous ILM transplantation has the potential to improve functional and anatomical outcomes in an eye with a refractory MH. [Ophthalmic Surg Lasers Imaging Retina. 2018;49:e75-e77.].
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