AUTOLOGOUS TENON CAPSULE GRAFT FOR THE MANAGEMENT OF SUBFOVEAL DETACHMENT BECAUSE OF MYOPIC PARACENTRAL MACULAR BREAK

To report a novel surgical technique using an autologous Tenon capsule graft after vitrectomy for treating paracentral breaks in pathologic myopia.

A single case report of a patient with incipient subfoveal detachment and a paracentral break. Pars plana vitrectomy was performed, and next, an autologous Tenon capsule graft was harvested and tucked into the break, followed by final air endotamponade.

After only 2 days, the autologous Tenon capsule graft effectively plugged the paracentral break and optical coherence tomography demonstrated complete resolution of foveoschisis and subfoveal detachment.

The autologous Tenon capsule graft plug offers a promising alternative for the management of paracentral breaks in eyes with pathologic myopia, especially those refractory or secondary to previous surgeries. Further studies will be necessary to evaluate its long-term outcomes and safety.