First Author: I.Rogalinska POLAND
Co Author(s): J. Kociecki
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To report the use of retinal free flap in case of traumatic giant macular hole associated with retinal detachment
Department of Ophthalmology, Poznan University of Medical Sciences, Poznan-Poland
We describe a case of a 33 year old man who had blunt ocular trauma 4 weeks after pars plana vitrectomy with internal limiting membrane (ILM) peeling and gas C3F8 endotamponade because of retinal detachment. Ophthalmic examination revealed artificial lens was dislocated to the vitreous cavity that was filled in about 50% with gas. In we found addition retinal redetachment below the gas bubble. During the second vitrectomy we recognized a giant macular hole of a size of about 3 optic disc . We used a free retinal flap created from inferior part of the detached retina to cover the macular hole. At the end we used silicone oil tamponadę.
2 months after the surgery the retina was completely attached and the visual acuity improved from light perception to 3/50. We observed transplanted flap of the retina in the place of the macula.
Retinal free flap can be use as a patch in case of giant traumatic macular hole associated with retinal detachment