Macular hole and autologous internal limiting membrane transplantation

Session Details

Session Title: Free Paper Session 13: Vitreoretinal Surgery IV

Session Date/Time: Friday 08/09/2017 | 14:30-16:00

Paper Time: 15:36

Venue: Room 117

First Author: : E.Dewi INDONESIA

Co Author(s): :                                 

Abstract Details

Purpose:

To evaluate the surgical outcome of autologous internal limiting membrane transplantation (ILM) for the treatment of large macular hole.

Setting:

patient with macular hole >600 μm, who come to the hospital and agree to do surgery

Methods:

23G pars plana vitrectomy caliber was performed for the treatment of patients with a macular hole of total thickness greater than 600 μm. ILM was stained using 0.025% bright blue G. ILM around the hole is formed circumferential peeled as the diameter of the disc 2.5 (DD) in size and then transplanted with technique fill the hole with ILM. Air-liquid exchange and gas injection are performed. After the surgery, the hole was scanned using optical coherence tomography

Results:

A total of 7 eyes were included in the present study. The mean age was 58.0 ± 8 years (52-77) and the mean of the best corrected visual acuity (log MAR) was 1.5 ± 0.3. The mean horizontal size was 695 ± 169 μm. On the first day after surgery, transplanted ILM was detected inside the hole in the 7 eyes and the total closure of the hole occurred in 6 eyes. Foveal improved gradually but the integrity of the photoreceptors did not do so during the follow-up period. 5 eyes showed visual improvement, the mean of the best corrected visual acuity (log MAR) 3 months after surgery was 0.6 ± 0.4

Conclusions:

Macular hole was successfully closed using the autologous ILM transplant with fill the hole technique. Based on the results, autologous ILM should be considered the treatment of choice for large macular holes

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