A three-step approach to close refractory persistent macular holes: a releasing-closing-tapping approach.

ABSTRACT:

Purpose

The aim of this study was to assess the efficacy and safety of a novel releasing-closing-tapping approach in the treatment of persistent macular holes (PMHs) after initial surgery with internal limiting membrane (ILM) peeling.

Methods

We retrospectively analyzed patients with PMHs after initial surgery with ILM peeling who were treated with a novel releasing-closing-tapping approach. After repeated pars plana vitrectomy (PPV), the surgeon effectively released the adhesion between the edges and retinal pigment epithelium (RPE) by gently scraping the retinal neuroepithelium. Then, the hole was converted into a transverse slit, and the edges were gently tapped flat so that they attached to the RPE, and no space was left under the edges. Finally, air tamponade was carrie

SUBMITTER: Su T 

PROVIDER: S-EPMC10667424 | biostudies-literature | 2023 Dec

REPOSITORIES: biostudies-literature