Autologous neurosensory retinal flap for closure of refractory macular hole in a patient with macular telangiectasia
| Autor: | Ian Reddie, Andrew McAllister, Andrew Hewson |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Supine position genetic structures medicine.medical_treatment Vitrectomy Case Report chemistry.chemical_compound Neurosensory autograft lcsh:Ophthalmology Refractory Ophthalmology Medicine Sulphur Hexafluoride Macular hole Macular telangiectasia business.industry Retinal medicine.disease eye diseases chemistry lcsh:RE1-994 Tamponade sense organs business |
| Zdroj: | American Journal of Ophthalmology Case Reports American Journal of Ophthalmology Case Reports, Vol 18, Iss, Pp-(2020) |
| ISSN: | 2451-9936 |
| Popis: | Purpose This study explores autologous neurosensory autograph for a patient with a chronic full-thickness macular hole (FTMH) and idiopathic macular telangiectasia type 2 (IMT2). Observations The patient had a chronic 1355 μm FTMH and best corrected visual acuity (BCVA) of 2 logMAR units after two unsuccessful attempts to close the macular hole. Following a 25-gauge vitrectomy, a 2-disc diameter neurosensory autograft from the supertemporal retina was mobilized and secured with perfluoro-N-octane (PFO) tamponade. After being postured supine for one week, the PFO was exchanged for silicone oil. Two months later, silicone oil was exchanged for 20% sulphur hexafluoride (SF6). Conclusions and importance The graft achieved anatomical and functional success with BCVA of 0.6 logMAR units. This case supports autologous neurosensory autograph as a technique for achieving closure of chronic macular holes refractory to conventional treatment. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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