title: ANTERIOR LENS CAPSULE IN THE MANAGEMENT OF CHRONIC FULL-THICKNESS MACULAR HOLE.
abstract: OBJECTIVE
  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.
  
  
  CONCLUSIONS
  Lens capsular flap transplantation is useful in closing chronic MH in the short term.
authors.affiliation: Department of Vitreoretinal Surgery, Clinica de Ojos, Maracaibo, Venezuela.
authors.forename: Juan B
authors.initials: JB
authors.lastname: Yepez
authors.affiliation: Department of Vitreoretinal Surgery, Clinica de Ojos, Maracaibo, Venezuela.
authors.forename: Felipe A
authors.initials: FA
authors.lastname: Murati
authors.affiliation: Department of Pediatric Ophthalmology and Strabismus, Clinica de Ojos, Maracaibo, Venezuela.
authors.forename: Jazmin
authors.initials: J
authors.lastname: De Yepez
authors.affiliation: Department of Glaucoma, Clinica de Ojos, Maracaibo, Venezuela.
authors.forename: Michele
authors.initials: M
authors.lastname: Petitto
authors.affiliation: Division of Retina, Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland.
authors.forename: J Fernando
authors.initials: JF
authors.lastname: Arevalo
mesh_terms: D000368:Aged; D000869:Anterior Eye Segment / Q000601:surgery; D002908:Chronic Disease; D005260:Female; D006801:Humans; D007903:Lens Capsule, Crystalline / Q000637:transplantation*; D018918:Phacoemulsification / Q000379:methods*; D012167:Retinal Perforations / Q000601:surgery*; D013524:Surgical Flaps; D016896:Treatment Outcome; D014821:Vitrectomy / Q000379:methods*