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. 2021 Feb 27:2021:8148792.
doi: 10.1155/2021/8148792. eCollection 2021.

Autologous Lens Capsule Flap Transplantation for Persistent Macular Holes

Sławomir Cisiecki  1 , Karolina Bonińska  1 , Maciej Bednarski  1
Affiliations

Autologous Lens Capsule Flap Transplantation for Persistent Macular Holes

Sławomir Cisiecki et al. J Ophthalmol. .

Abstract

Purpose: To analyze the anatomical and functional outcomes after autologous lens capsule transplantation in patients with persistent macular hole.

Methods: This is a retrospective observational study of five eyes of five patients treated with vitrectomy and autologous lens capsular flap transplantation. Complete ophthalmic examination was performed preoperatively and seven days and 1, 3, 6, 12, and 18 months after surgery.

Results: Successful macular hole closure was achieved in all patients. The mean minimum macular hole diameter before the surgery was 666.8 µm, and the mean basal diameter was 1086.4 µm. The mean visual acuity before lens capsular flap transplantation was 20/200, while after surgery, it was 20/125.

Conclusions: Autologous lens capsular flap transplantation is a potential alternative treatment for patients with large persistent macular holes after other operative techniques have failed.

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Conflict of interest statement

The authors declare that there are no conflicts of interest regarding the publication of this paper.

Figures

Figure 1
Figure 1
A macular hole closed surgically with a lens capsular flap.
Figure 2
Figure 2
Spectral-domain optical coherence tomography (SD-OCT) image of a macular hole closed surgically with a lens capsule.
Figure 3
Figure 3
Changes in the BCVA from baseline to 18 months after the surgery.
Figure 4
Figure 4
Macular hole closure over time after anterior lens capsular flap transplantation. Vertical SD-OCT scans: (a) baseline, (b) one month after surgery, (c) six months postoperatively, and (d) 12 months postoperatively. Scale bar = 200 µm.
Figure 5
Figure 5
Macular hole closure over time after posterior lens capsular flap transplantation. Vertical SD-OCT scans: (a) baseline, (b) one month after surgery, (c) six months postoperatively, and (d) 12 months postoperatively. Scale bar = 200 µm.
See this image and copyright information in PMC

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