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Surgical management with amniotic membrane plugs for posterior or retracted retinal breaks or those associated with
A Najib1, M Muraine1, J Gueudry1
1Department of Ophthalmology, University Hospital of Rouen, 37, boulevard Gambetta, 76000 Rouen, France.
Purpose:
To evaluate mid-term safety and efficacy of a new surgical technique using amniotic membrane plugs for the treatment of posterior or retracted retinal breaks or those associated with chorioretinal atrophy in tractional and chronic rhegmatogenous retinal detachment.
Methods:
Patients with rhegmatogenous retinal detachment with at least grade C proliferative vitreoretinopathy or tractional retinal detachment whose retinal breaks were sealed with amniotic membrane plugs were included. With a minimum follow-up of 12 months, parameters measured included visual acuity evaluation, optical coherence tomography, retinal photography, intraocular pressure and re-detachment rate at 1, 3, 6 and 12 months.
Results:
Nine eyes of 9 patients were included. The mean 12-month postoperative best-corrected visual acuity was 1.12 logMAR. Fundus photography and optical coherence tomography showed that the plugs stayed in place at 1, 3, 6 and 12 months without dislocation. Glial tissue regeneration was seen without restoration of the original retinal layers. Only one retinal re-detachment occurred after silicone oil removal. Neither elevation of intraocular pressure nor signs of inflammation were observed.
Conclusion:
Amniotic membrane plugs represent a safe and effective surgical technique to manage posterior or retracted retinal breaks, or those associated with chorioretinal atrophy, without the limitations of laser retinopexy.
