Francesco Pichi1, Emad B Abboud2. 1. Cleveland Clinic Abu Dhabi, Eye Institute, PO Box 112412, Abu Dhabi, United Arab Emirates. ilmiticopicchio@gmail.com. 2. Cleveland Clinic Abu Dhabi, Eye Institute, PO Box 112412, Abu Dhabi, United Arab Emirates.
Abstract
PURPOSE: Editorial to De Giacinto et al case report on free autologous neurosensory retina patch. METHODS: Literature review and experts' opinion RESULTS: In the present issue, De Giacinto et al describe a free autologous neurosensory retina patch to close a chronic macular hole. This new technique was made necessary by an extended internal limiting membrane peeling during the first surgery, that prevented grafting a patch of internal limiting membrane when the hole did not close. We hereby review pros and cons of patching a chronic macular hole with an internal limiting membrane patch, as well as the importance of not over-enlarging a peeling. DISCUSSION: Internal limiting membrane patch can be considered in chronic macular holes. It may not be an option in cases of over-enlargement of a previous peel; free autologous neurosensory retina patch may be a valid alternative in such cases.
PURPOSE: Editorial to De Giacinto et al case report on free autologous neurosensory retina patch. METHODS: Literature review and experts' opinion RESULTS: In the present issue, De Giacinto et al describe a free autologous neurosensory retina patch to close a chronic macular hole. This new technique was made necessary by an extended internal limiting membrane peeling during the first surgery, that prevented grafting a patch of internal limiting membrane when the hole did not close. We hereby review pros and cons of patching a chronic macular hole with an internal limiting membrane patch, as well as the importance of not over-enlarging a peeling. DISCUSSION: Internal limiting membrane patch can be considered in chronic macular holes. It may not be an option in cases of over-enlargement of a previous peel; free autologous neurosensory retina patch may be a valid alternative in such cases.
Keywords:
Chronic macular hole; ILM patch; ILM peeling; Neuroretina graft
Authors: Francesco Pichi; Domenico Massaro; Massimiliano Serafino; Paola Carrai; Gian P Giuliari; Carol L Shields; Chiara Veronese; Antonio P Ciardella; Paolo Nucci Journal: Retina Date: 2016-06 Impact factor: 4.256
Authors: Francesco Pichi; Andrea Lembo; Mariachiara Morara; Chiara Veronese; Micol Alkabes; Paolo Nucci; Antonio P Ciardella Journal: Int Ophthalmol Date: 2013-07-18 Impact factor: 2.031