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. 2020 Aug 24:14:2411-2416.
doi: 10.2147/OPTH.S272060. eCollection 2020.

Human Amniotic Membrane Plug for Macular Holes Coexisting with Rhegmatogenous Retinal Detachment

Mahmoud Alaa Abouhussein  1 , Samir Mohamed Elbaha  1 , Mohsen Aboushousha  1
Affiliations

Human Amniotic Membrane Plug for Macular Holes Coexisting with Rhegmatogenous Retinal Detachment

Mahmoud Alaa Abouhussein et al. Clin Ophthalmol. .

Abstract

Purpose: To evaluate the efficacy of human amniotic membrane in promoting closure of macular holes coexisting with rhegmatogenous retinal detachment.

Methods: This is a retrospective case series of 14 eyes (14 patients) with macula off retinal detachment. These patients had a macular hole coexistent with peripheral retinal breaks. A human amniotic membrane plug was used to close the macular hole during vitrectomy without ILM peeling.

Results: The mean preoperative BCVA (logMAR value) was 1.87 ± 0.31. At the 6-month follow-up visit, the mean LogMAR best-corrected visual acuity was 0.67 ± 0.17. At the 6-month follow-up, all patients showed complete retinal reattachment with macular hole closure.

Conclusion: The use of human amniotic membrane is a valid option in surgery for macular holes coexisting with rhegmatogenous retinal detachment.

Keywords: human amniotic membrane; macular hole; rhegmatogenous retinal detachment.

PubMed Disclaimer

Conflict of interest statement

The authors report no grants, funds proprietary interest, or conflicts of interest for this work.

Figures

Figure 1
Figure 1
OCT scan of the right eye of a patient showing the preoperative macular hole measuring 1065 microns and the retinal detachment.
Figure 2
Figure 2
OCT scan of the same patient at 1 month showing the human amniotic membrane plug filling the macular hole and the retina is attached.
Figure 3
Figure 3
OCT scan of the same patient at 3 month, before silicone oil removal, showing retinal layers growing over the amniotic membrane plug which decreased in size.
Figure 4
Figure 4
OCT scan of the same patient at 6 month, after silicone oil removal, showing a small remnant of the amniotic membrane patch.
See this image and copyright information in PMC

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