Autologous Tenon's capsule graft for the management of subfoveal detachment due to myopic paracentral macular break.

Autor: Fernández-Engroba J; Clínica Oftalvist Barcelona.; Hospital Universitari Vall d'Hebron., Roquet E; Clínica Oftalvist Barcelona.; Consorci Hospitalari de Vic., Tañá-Sanz P; Centro de Oftalmología Barraquer., Nadal B; Universitat de Barcelona., Nadal J; Clínica Oftalvist Barcelona.
Jazyk: angličtina
Zdroj: Retinal cases & brief reports [Retin Cases Brief Rep] 2024 Jul 25. Date of Electronic Publication: 2024 Jul 25.
DOI: 10.1097/ICB.0000000000001635
Abstrakt: Purpose: To report a novel surgical technique using an autologous Tenon capsule graft (ATG) after vitrectomy for treating paracentral breaks in pathological myopia.
Methods: A single case report of a patient with incipient subfoveal detachment and a paracentral break. Pars plana vitrectomy was performed, and next, an ATG was harvested and tucked into the break, followed by final air endotamponade.
Results: After only two days, the ATG effectively plugged the paracentral break and optical coherence tomography demonstrated complete resolution of foveoschisis and subfoveal detachment.
Conclusion: The ATG plug offers a promising alternative for the management of paracentral breaks in eyes with pathological myopia, especially those refractory or secondary to previous surgeries. Further studies will be necessary to evaluate its long-term outcomes and safety.
Competing Interests: Declaration of Conflicting Interests: The Authors declare that there is no conflict of interest.
Databáze: MEDLINE