title: Arcuate retinotomy for the repair of large macular holes.
abstract: OBJECTIVE
  To present a case series to elucidate a novel technique that involves the creation of an arcuate retinotomy in the treatment of large macular holes after failed primary repair.
  
  
  METHODS
  retrospective chart review. Six eyes (six patients) with large macular holes, all of which had failed primary repair, underwent 25 gauge pars plana vitrectomy revision coupled with full thickness arcuate retinotomy temporal to the macular hole and fluid-gas exchange. The main outcome measure was anatomic macular hole closure based on optical coherence tomography (OCT), with visual acuity and visual field evaluation as secondary outcome measures.
  
  
  RESULTS
  Five of the six patients (83%) had successful hole closure with three of the six patients (50%) exhibiting improvement in visual acuity.
  
  
  CONCLUSIONS
  Arcuate retinotomy is a new approach that may aide in the repair of large macular holes not otherwise amenable to closure with traditional techniques.
authors: Charles Retina Institute, University of Tennessee Health Science Center, Memphis, Tennessee, USA. scharles@att.net
authors: Steve
authors: S
authors: Charles
authors: John C
authors: JC
authors: Randolph
authors: Aneesh
authors: A
authors: Neekhra
authors: Charles D
authors: CD
authors: Salisbury
authors: Nathan
authors: N
authors: Littlejohn
authors: Jorge I
authors: JI
authors: Calzada
mesh_terms: D058450:Endotamponade; D005260:Female; D005466:Fluorocarbons / Q000008:administration & dosage; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D013508:Ophthalmologic Surgical Procedures; D016684:Prone Position; D012086:Reoperation; D012160:Retina / Q000601:surgery*; D012167:Retinal Perforations / Q000601:surgery*; D012189:Retrospective Studies; D013459:Sulfur Hexafluoride / Q000008:administration & dosage; D041623:Tomography, Optical Coherence; D014792:Visual Acuity / Q000502:physiology; D014794:Visual Fields / Q000502:physiology; D014821:Vitrectomy
chemical_list: D005466:Fluorocarbons; C042852:perflutren; D013459:Sulfur Hexafluoride