Autologous Internal Limiting Membrane (ILM) Recycling to Close Very Large Refractory Macular Holes

Background

Although surgical techniques for the treatment of macular holes have improved dramatically over the last two decades, large macular holes are still difficult to close [1]. Macular holes refractory to repeated macular surgery including ILM peeling represent difficult cases with few surgical possibilites to remedy the situation [2]. Re-peeling of some epiretinal tissue or massaging of the macular hole rim may be performed, although its benefits are debated and these procedures may harm the residual photoreceptors [3].

• References

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• 4 DʼSouza MJ, Chaudhary V, Devenyi R et al. Re-operation of idiopathic full-thickness macular holes after initial surgery with ILM peel. Br J Ophthalmol 2011; 95: 1564-1567
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