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Multicenter Study
. 2016 Jan;36(1):163-70.
doi: 10.1097/IAE.0000000000000674.

LENS CAPSULAR FLAP TRANSPLANTATION IN THE MANAGEMENT OF REFRACTORY MACULAR HOLE FROM MULTIPLE ETIOLOGIES

San-Ni Chen  1 , Chung-May Yang
Affiliations
Multicenter Study

LENS CAPSULAR FLAP TRANSPLANTATION IN THE MANAGEMENT OF REFRACTORY MACULAR HOLE FROM MULTIPLE ETIOLOGIES

San-Ni Chen et al. Retina. 2016 Jan.

Abstract

Purpose: To report the clinical results of lens capsular flap transplantation in refractory macular hole (MH).

Methods: This retrospective, interventional, consecutive case series included 20 eyes with persistent MH after previous standard MH surgery. All eyes underwent vitrectomy, lens anterior or posterior capsule transplantation into the MH, gas tamponade, and a 1-week postoperative head down. Structural and functional changes were evaluated.

Results: The predisposing conditions to surgical failure included high myopia with MH and retinal detachment in four eyes, MH after myopic foveoschisis surgery in one eye, high myopia with a large MH in one eye, proliferative diabetic retinopathy with MH in three eyes, MH with severe retinal detachment in one eye, retinal detachment with concurrent peripheral breaks and MH in one eye, and large or chronic MH in nine eyes. Macular hole was closed in all the 10 eyes receiving anterior capsular flap transplantation. In the 10 eyes with posterior capsular flap transplantation, MH was closed in 5, partially closed in 3, and not closed in 2. Visual acuity in logarithm of minimal angle of resolution improved from 1.53 ± 0.39 preoperatively to 1.07 ± 0.35 postoperatively.

Conclusion: Lens capsular flap transplantation may close the MH and improve visual outcome in the majority cases of refractory MH.

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Comment in

  • Correspondence.
    Theodossiadis GP, Chatziralli IP, Theodossiadis PG. Theodossiadis GP, et al. Retina. 2016 Aug;36(8):e81-2. doi: 10.1097/IAE.0000000000001164. Retina. 2016. PMID: 27388732 No abstract available.
  • Reply.
    Chen SN, Yang CM. Chen SN, et al. Retina. 2016 Aug;36(8):e82-3. doi: 10.1097/IAE.0000000000001191. Retina. 2016. PMID: 27454034 No abstract available.
  • Correspondence.
    Yepez J, Murati F, Arévalo JF. Yepez J, et al. Retina. 2016 Oct;36(10):e105-6. doi: 10.1097/IAE.0000000000001298. Retina. 2016. PMID: 27579590 No abstract available.
  • Correspondence.
    Baskaran P, Ganne P. Baskaran P, et al. Retina. 2016 Oct;36(10):e102-3. doi: 10.1097/IAE.0000000000001294. Retina. 2016. PMID: 27599214 No abstract available.
  • Reply.
    Chen SN, Yang CM. Chen SN, et al. Retina. 2016 Oct;36(10):e103-4. doi: 10.1097/IAE.0000000000001295. Retina. 2016. PMID: 27643805 No abstract available.
  • Reply.
    Chen SN, Yang CM. Chen SN, et al. Retina. 2016 Oct;36(10):e106-7. doi: 10.1097/IAE.0000000000001299. Retina. 2016. PMID: 27643806 No abstract available.

MeSH terms