Surgical Management of Recurrent and Persistent Macular Holes: A Practical Approach

Primary surgery for macular hole (MH) closure has a high success rate with current methods of pars plana vitrectomy and internal limiting membrane (ILM) peeling. When primary surgery fails, there are several options available for secondary repair, including extension of the ILM peel, creation of an...

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Bibliographic Details
Published in:	Ophthalmology and therapy Vol. 10; no. 4; pp. 1137 - 1153
Main Authors:	Cao, Jessica L., Kaiser, Peter K.
Format:	Journal Article
Language:	English
Published:	Cheshire Springer Healthcare 01-12-2021
Subjects:	Internal Medicine Medicine Medicine & Public Health Ophthalmology Practical Approach Vitrectomy Macular hole ILM Surgery
Online Access:	Get full text
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Summary:	Primary surgery for macular hole (MH) closure has a high success rate with current methods of pars plana vitrectomy and internal limiting membrane (ILM) peeling. When primary surgery fails, there are several options available for secondary repair, including extension of the ILM peel, creation of an ILM flap, pedunculated ILM flap, lens capsule flap transplantation, autologous retinal transplantation, use of a human amniotic membrane plug, adjuvant autologous platelet concentrate, induction of macular detachments with subretinal blebs, and creation of retinal incisions. In this review, we discuss the practical approach to each of these surgical techniques for the management of recurrent or persistent MHs.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	2193-8245 2193-6528
DOI:	10.1007/s40123-021-00388-5