Juan B Yepez1, Felipe A Murati1, Jazmin De Yepez2, Michele Petitto3, J Fernando Arevalo4. 1. Department of Vitreoretinal Surgery, Clinica de Ojos, Maracaibo, Venezuela. 2. Department of Pediatric Ophthalmology and Strabismus, Clinica de Ojos, Maracaibo, Venezuela. 3. Department of Glaucoma, Clinica de Ojos, Maracaibo, Venezuela. 4. Division of Retina, Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Abstract
PURPOSE: To report the use of anterior lens capsule flap transplantation in two cases with chronic full-thickness macular hole (MH). METHODS: Case series. RESULTS: Two cases of chronic MH with a new treatment approach were reported. In the first case, a 66-year-old man presented with a chronic idiopathic MH in the left eye for 2 years. Presenting visual acuity was hand motion. The patient underwent phacoemulsification and vitrectomy with anterior lens capsule flap transplantation in the MH. At 5 months postoperatively, the visual acuity was 20/200 with MH closure. In the second case, a 68-year-old woman presented with decreased visual acuity for 2 years. Her visual acuity was hand motion in the right eye. The patient underwent phacoemulsification and vitrectomy with anterior lens capsule flap transplantation in the MH. Visual acuity improved to 20/400 with reduction in the MH diameter. Vision and MH diameter remained stable over 5 months postoperatively. CONCLUSION: Lens capsular flap transplantation is useful in closing chronic MH in the short term.
PURPOSE: To report the use of anterior lens capsule flap transplantation in two cases with chronic full-thickness macular hole (MH). METHODS: Case series. RESULTS: Two cases of chronic MH with a new treatment approach were reported. In the first case, a 66-year-old man presented with a chronic idiopathic MH in the left eye for 2 years. Presenting visual acuity was hand motion. The patient underwent phacoemulsification and vitrectomy with anterior lens capsule flap transplantation in the MH. At 5 months postoperatively, the visual acuity was 20/200 with MH closure. In the second case, a 68-year-old woman presented with decreased visual acuity for 2 years. Her visual acuity was hand motion in the right eye. The patient underwent phacoemulsification and vitrectomy with anterior lens capsule flap transplantation in the MH. Visual acuity improved to 20/400 with reduction in the MH diameter. Vision and MH diameter remained stable over 5 months postoperatively. CONCLUSION: Lens capsular flap transplantation is useful in closing chronic MH in the short term.