Amniotic membrane for covering high myopic macular hole associated with retinal detachment following failed primary surgery
Author:
Corresponding Author:

Zi-Yan Tang. Wanjiang Eye Hospital of Mianyang, No.16, Hongta Street, Fucheng District, Mianyang 621000, Sichuan Province, China. 418445961@qq.com

Affiliation:

Clc Number:

Fund Project:

Supported by Medical Research Project of Sichuan Province (No.S20018).

  • Article
  • |
  • Figures
  • |
  • Metrics
  • |
  • Reference
  • |
  • Related
  • |
  • Cited by
  • |
  • Materials
  • |
  • Comments
    Abstract:

    AIM: To evaluate the therapeutic effect of amniotic membrane (AM) for covering high myopic macular hole associated with retinal detachment following failed primary surgery. METHODS: Seventeen eyes of 17 patients whose axial length was more than 29 mm suffered from macular hole (MH) or MH associated with retinal detachment (RD), and had previously surgery of pars plana vitrectomy (PPV) with internal limiting membrane (ILM) peeling and silicone oil (SO) tamponade. Half a year after the surgery, optical coherence tomography (OCT) showed that MH did not heal in all 17 eyes and RD was still maintained in 13 eyes of these 17 eyes. We performed SO removal combined with AM covering on macular area and C3F8 tamponade, and phacoemulsification combined with intraocular lens implantation simultaneously cataract eyes. We followed up these patients for one year. RESULTS: In all 17 eyes, SO was removed successfully, MHs were healed and RDs were reattached. One eye (5.89%, 1/17) had AM shifted half a month after surgery and underwent a second surgery to adjust the position of the AM and supplement C3F8. After surgery, the visual acuity (VA) improved in 15 eyes (88.24%, 15/17), no change in two eyes (11.76%, 2/17). No serious complications occurred in all eyes. CONCLUSION: AM covering is helpful to rescue the previous failure surgery of high myopic MH.

    Reference
    Related
    Cited by
Get Citation

Gang Qiao, Xiao-Juan Zhang, Zi-Yan Tang, et al. Amniotic membrane for covering high myopic macular hole associated with retinal detachment following failed primary surgery. Int J Ophthalmol, 2022,15(5):760-765

Copy
Share
Article Metrics
  • Abstract:
  • PDF:
  • HTML:
  • Cited by:
Publication History
  • Received:June 08,2021
  • Revised:August 17,2021
  • Adopted:
  • Online: April 27,2022
  • Published: