Channels: Retina | Posted 8/29/2018
Lukan Mishev, MD, presents a case of long standing retinal detachment complicated by a large macular hole. Despite ILM peeling (under PFCL), endodrainage of the macular hole and massaging, closure was not achieved. The author decided to transplant a graft taken from peripheral retina over the macular hole. This graft was intended to serve as scaffold, or as functional substitute, of macular tissue due to the contraction. The result showed early functional gain and good morphological integration between the autograft and existing macular tissues. Absence of cystoid changes suggests good graft healing and absence of ischemia. The functional gain suggests possible early integration of RNFL connections.
Macular Hole • Retina • Retinal detachment, RD