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Patching Peripheral Retinal Breaks on Atrophic Choroid: A Prospective Pilot Study to Prevent Redetachment.

Barbara Parolini1, Aurelio Apuzzo2, Antonio Spinelli3

  • 1Department of Ophthalmology, Eyecare Clinic, Brescia, Italy.

Journal of Vitreoretinal Diseases
|March 2, 2026
PubMed
Summary
This summary is machine-generated.

Bovine pericardium (Tutopatch) effectively seals retinal breaks in highly myopic eyes with chorioretinal atrophy. This innovative treatment promotes retinal reattachment and visual acuity improvement, offering a new option where conventional methods fail.

Keywords:
Tutopatchchorioretinal atrophymyopiaretinal detachmentsilicone oil tamponadevitrectomy

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Area of Science:

  • Ophthalmology
  • Retinal Surgery
  • Biomaterials in Medicine

Background:

  • Peripheral retinal breaks over chorioretinal atrophy in highly myopic eyes present surgical challenges.
  • Conventional treatments may be limited in these specific anatomical conditions.

Purpose of the Study:

  • To assess the efficacy and safety of using bovine pericardium (Tutopatch) as a sealant for retinal breaks.
  • To evaluate Tutopatch in highly myopic eyes with retinal detachment (RD) over areas of chorioretinal atrophy.

Main Methods:

  • A 25-gauge pars plana vitrectomy with subretinal fluid drainage and silicone oil (SO) tamponade was performed.
  • A trimmed Tutopatch was applied over the retinal breaks in seven highly myopic eyes.
  • Follow-up included best-corrected visual acuity (BCVA), intraocular pressure (IOP), fundus photography, and widefield optical coherence tomography over 12 months.

Main Results:

  • Complete retinal reattachment was achieved in all seven eyes, with no recurrence after SO removal.
  • Median BCVA improved significantly from 0.10 (20/200) to 0.20 (20/100).
  • The Tutopatch remained well-adherent without inflammation or complications, and mean IOP showed a slight increase.

Conclusions:

  • Tutopatch is a safe and effective option for sealing retinal breaks in challenging locations like chorioretinal atrophy in highly myopic eyes.
  • This technique shows promise in preventing redetachment in this patient population.
  • Larger studies are recommended to validate these findings.