ISSN: 1745-7580
+44-77-2385-9429
Department of Biomedical and Surgical Sciences, Section of Ophthalmology, University of Perugia, S. Maria Della Misericordia Hospital, Perugia, Italy
Greta Castellucci is from Department of the Biomedical and the Surgical Sciences, Section of the Ophthalmology, University of Perugia, S. Maria Della Misericordia Hospital, Perugia, Italy.
Case Report
Incomplete Macular Hole Closure after Human Amniotic Membrane Plug Transplantation: Is Sulfur Hexafluoride Reinjection Necessary?
Author(s): Tito Fiore*, Davide Tucci, Greta Castellucci, Barbara Iaccheri, Marco Lupidi and Carlo Cagini
Purpose: To report a case of a patient with a Full-Thickness Macular Hole (FTMH) treated with a Pars-Plana Vitrectomy (PPV) and the positioning of a human Amniotic Membrane (hAM) plug. Methods: Patient was surgically treated with PPV, hAM plug implantation and SF6 (sulfur hexafluoride) as endotamponade. A complete ophthalmic examination and an Optical Coherence Tomography (OCT) were performed at every visit. Results: After surgery, the edges of hAM were elevated, folded and not perfectly outspread under the surrounding retinal layers, which were thickened and elevated, due to the presence of a persistent intraretinal oedema. A new surgery with reinjection of 20% SF6 was performed, but despite the closure of MH, neurosensory retina migration over the hAM plug was incomplete and macular edema persisted. Conclusion: hAM transplant is a valuable option for MH surgery. Plug dimension shoul.. View More»