DR. ASHWINI RAUT

Dr. SARAVANAN V.R., Dr. SHISHIR VERGHESE

Abstract

Aim: To describe a new technique for management of large and refractory macular holes by using an autologous neurosensory free flap

Case 1: A 25-year-old male with a history of undergoing pars plana vitrectomy for retinal detachment, was found to have developed a macular hole post surgery. For which he underwent a re-surgery with retinal autograft to cover the large macular hole.

Case 2: A 55-year-old female presented with a large idiopathic macular hole and underwent pars plana vitrectomy which failed to close the hole. She underwent resurgery with retinal autograft to cover the large macular hole.

Discussion: This technique involves harvesting an autologous neurosensory retinal free flap and positioning it over the refractory MH to provide a scaffold and plug for hole closure. Both our cases had good postoperative outcome.

Conclusion: Using retinal autograft is a good technique for closure of large and refractory macular holes with good anatomical and functional outcomes.