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- Title
Refractory macular hole repaired by autologous retinal graft and blood clot.
- Authors
Wu, An-Lun; Chuang, Lan-Hsin; Wang, Nan-Kai; Chen, Kuan-Jen; Liu, Laura; Yeung, Ling; Chen, Tun-Lu; Hwang, Yih-Shiou; Wu, Wei-Chi; Lai, Chi-Chun
- Abstract
<bold>Background: </bold>To evaluate the surgical technique using autologous retinal graft (ARG) and autologous blood clot (ABC) for the management of refractory macular holes (MHs).<bold>Methods: </bold>This study was a retrospective, consecutive, interventional case series. Six eyes of 6 patients who underwent vitrectomy combined with ARG and ABC for the treatment of refractory MH were reviewed. Visual and anatomic outcomes were evaluated.<bold>Results: </bold>The mean age was 59.0 ± 9.9 years. All cases had multiple vitreoretinal procedures including vitrectomy and gas fluid exchange before patient presentation. The average numbers of vitrectomies were 2.3 ± 0.5, and those of gas fluid exchange were 3 ± 1.7. Closure of the macular hole was achieved in four (66.7%) cases at last follow-up. The mean follow-up time was 25.2 ± 15.6 months. The averaged BCVA before and after 12 months of the surgery improved from 20/591 to 20/244.<bold>Conclusions: </bold>This surgical technique using ARG and ABC provide an option for the treatment of refractory MHs.
- Subjects
OPHTHALMIC surgery; OPERATIVE surgery; POSTOPERATIVE care; EYE care; INTRAOCULAR lenses; RETINAL disease diagnosis; RETINA transplants; AUTOGRAFTS; BLOOD; LONGITUDINAL method; RESEARCH funding; RETINAL diseases; OPTICAL coherence tomography; RETROSPECTIVE studies
- Publication
BMC Ophthalmology, 2018, Vol 18, Issue 1, pN.PAG
- ISSN
1471-2415
- Publication type
journal article
- DOI
10.1186/s12886-018-0898-8