Refractory macular hole repaired by autologous retinal graft and blood clot View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2018-12

AUTHORS

An-Lun Wu, Lan-Hsin Chuang, Nan-Kai Wang, Kuan-Jen Chen, Laura Liu, Ling Yeung, Tun-Lu Chen, Yih-Shiou Hwang, Wei-Chi Wu, Chi-Chun Lai

ABSTRACT

BACKGROUND: To evaluate the surgical technique using autologous retinal graft (ARG) and autologous blood clot (ABC) for the management of refractory macular holes (MHs). METHODS: This study was a retrospective, consecutive, interventional case series. Six eyes of 6 patients who underwent vitrectomy combined with ARG and ABC for the treatment of refractory MH were reviewed. Visual and anatomic outcomes were evaluated. RESULTS: The mean age was 59.0 ± 9.9 years. All cases had multiple vitreoretinal procedures including vitrectomy and gas fluid exchange before patient presentation. The average numbers of vitrectomies were 2.3 ± 0.5, and those of gas fluid exchange were 3 ± 1.7. Closure of the macular hole was achieved in four (66.7%) cases at last follow-up. The mean follow-up time was 25.2 ± 15.6 months. The averaged BCVA before and after 12 months of the surgery improved from 20/591 to 20/244. CONCLUSIONS: This surgical technique using ARG and ABC provide an option for the treatment of refractory MHs. More... »

PAGES

213

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/s12886-018-0898-8

DOI

http://dx.doi.org/10.1186/s12886-018-0898-8

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1106413524

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30157808


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39 schema:description BACKGROUND: To evaluate the surgical technique using autologous retinal graft (ARG) and autologous blood clot (ABC) for the management of refractory macular holes (MHs). METHODS: This study was a retrospective, consecutive, interventional case series. Six eyes of 6 patients who underwent vitrectomy combined with ARG and ABC for the treatment of refractory MH were reviewed. Visual and anatomic outcomes were evaluated. RESULTS: The mean age was 59.0 ± 9.9 years. All cases had multiple vitreoretinal procedures including vitrectomy and gas fluid exchange before patient presentation. The average numbers of vitrectomies were 2.3 ± 0.5, and those of gas fluid exchange were 3 ± 1.7. Closure of the macular hole was achieved in four (66.7%) cases at last follow-up. The mean follow-up time was 25.2 ± 15.6 months. The averaged BCVA before and after 12 months of the surgery improved from 20/591 to 20/244. CONCLUSIONS: This surgical technique using ARG and ABC provide an option for the treatment of refractory MHs.
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