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Surgical technique for approaching chronic or persistent macular holes: Two case reports
Marcelo Zas1, Andres F Lasave2, Alejandro Alfano1
1Ophthalmology Department, Retina Section, Hospital de Clínicas "José de San Martín", School of Medicine, University of Buenos Aires, Argentina.
American Journal of Ophthalmology Case Reports
|April 24, 2020
Summary
This study evaluated a novel surgical technique for macular holes (MHs), achieving successful closure in one of two patients. Further research is needed to identify factors influencing the success of this macular hole surgery.
Area of Science:
- Ophthalmology
- Retinal Surgery
Background:
- Macular holes (MHs) present challenges in surgical management.
- An innovative technique involving pars plana vitrectomy and subretinal fluid injection was explored.
Observation:
- A case series of two patients with chronic or persistent MHs was analyzed.
- The technique included internal limiting membrane peeling and subretinal balanced salt solution (BSS) injection.
- One patient achieved successful MH closure, while the other did not.
Findings:
- Successful macular hole closure was observed in one of two patients.
- Visual acuity improved from counting fingers to 20/100 in the successful case.
- No worsening of visual acuity occurred in either patient.
Implications:
- The technique shows potential but requires further investigation.
- Identifying risk factors is crucial for optimizing outcomes in macular hole surgery.
- This study highlights the need for larger trials to validate the efficacy of this surgical approach.
