ArticleBMC ophthalmology2018
Management of refractory macular hole with blood and gas-assisted autologous neurosensory retinal free flap transplantation: a case report.
Article in BMC ophthalmology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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10 citing papers in PubMed, 22 citations in OpenAlex.
- Autologous retina transplantation for refractory highly myopic macular holes: a long-term follow-up.Japanese journal of ophthalmology · 2025Article
- Autologous retinal graft for the management of large macular holes associated with retinal detachment.The Libyan journal of medicine · 2023Article
- Surgical classification for large macular hole: based on different surgical techniques results: the CLOSE study group.International journal of retina and vitreous · 2023Article
- Long-Term Follow-Up of Refractory Large Macular Hole with Autologous Neurosensory Retinal Free Flap Transplantation.Journal of ophthalmology · 2022Article
- [Macular detachment for treatment of large, persistent and chronic macular holes].Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft · 2021Review
- Applications of the Amniotic Membrane in Vitreoretinal Surgery.Journal of clinical medicine · 2020Review
- Functional evaluation with microperimetry in large idiopathic macular holes treated by a free internal limiting membrane flap tamponade technique.BMC ophthalmology · 2020Article
- [Surgery of large and persistent macular holes].Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft · 2019Review
- Clinical outcomes with large macular holes using the tiled transplantation internal limiting membrane pedicle flap technique.International journal of ophthalmology · 2019Article
- Refractory Myopic Retinal Detachment and Macular Hole Closure with Autologous Neurosensory Retinal Free Flap.Case reports in ophthalmologyArticle
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMacular hole (MH) may become refractory if the hole does not close after multiple surgeries. We provide a modified surgical technique for refractory MH repair with neurosensory retinal free flap transplantation. CASE PRESENTATION: To treat a 68-year-old female patient with refractory MH after multiple surgeries, we harvested a neurosensory retinal free flap with a 2-MH diameter area. A drop of whole blood was placed within the MH as an adhesive to fix the neurosensory retinal free flap at the MH under gas tamponade. Two months after surgery, optical coherence tomography (OCT) revealed closure of the MH. The flap was visible on OCT and had filled the MH without overlapping the neurosensory retina. The patient's best-corrected visual acuity (BCVA) improved from 20/500 preoperatively to 20/50 at 2 months postoperatively.
conclusionsUsing whole blood as an adhesive to aid in the fixation of an autologous neurosensory retinal free flap under gas tamponade provides another option for patients with refractory MH due to multiple prior surgeries.
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