OUTCOME OF RECURRENT MACULAR HOLE CLOSURE WITH AMNIOTIC MEMBRANE PLUG

Authors

  • Syed Muhammad Saad Department of Ophthalmology, Layton Rehmatullah Benevolent Trust free tertiary Care Eye Hospital, Karachi-Pakistan
  • Syed Fawad Rizvi Ophthalmology Department, Layton Rahmatullah Benevolent Trust Free Eye Hospital, Korangi, Karachi, Sindh
  • Muhammad Abdullah Tufail Khan Ophthalmology Department, Layton Rahmatullah Benevolent Trust Free Eye Hospital, Korangi, Karachi, Sindh
  • Syed Asaad Mahmood Ophthalmology Department, Layton Rahmatullah Benevolent Trust Free Eye Hospital, Korangi, Karachi, Sindh
  • Sabeen Abbasi Ophthalmology Department, Layton Rahmatullah Benevolent Trust Free Eye Hospital, Korangi, Karachi, Sindh
  • M. Tanweer Hasan Khan Ophthalmology Department, Layton Rahmatullah Benevolent Trust Free Eye Hospital, Korangi, Karachi, Sindh

Abstract

Background: The surgery of macular hole is a complex and intricate micro-surgery and chances of recurrence of macular hole are always high. Therefore, in order to provide a medium to close this hole, we carried out this research on subjects using amniotic membrane, in light of the studies being conducted around the world. This in turn led to benefitting the patients by improving their vision over time. Purpose: To assess the rate of recurrent macular hole closure with amniotic membrane plug. It was a Quasi-experimental study, conducted at Layton Rahmatullah Benevolent Trust (LRBT) Free Eye Hospital Karachi, from January 2019 to January 2020. Methods: This study was conducted using 13 eyes of 13 patients with recurrent macular hole who underwent amniotic membrane plugging via pars plana approach. Outcomes measured were changes in best corrected visual acuity (BCVA) and change in hole size with the help of optical coherence tomography (OCT). Results: Anatomic closure was attained in 100% of the cases whereas BCVA improved from 1.7±0.33 (6/300) to 0.9±0.15 (6/48). Conclusion: The use of AM is a functional method for management of large RMH.

Author Biography

Syed Muhammad Saad, Department of Ophthalmology, Layton Rehmatullah Benevolent Trust free tertiary Care Eye Hospital, Karachi-Pakistan

Department of vitreoretina Ophthalmogist

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Published

2021-04-23