Chronic Traumatic Giant Macular Hole Repair with Autologous Platelets.
We report on the closure of a chronic posttraumatic giant macular hole. The patient presented with decreased vision in the left eye following blunt trauma 20 years prior. His dilated fundus examination revealed a 3000 um base-diameter full thickness macular hole. Surgical repair was performed with pars plana vitrectomy (PPV), internal limiting membrane peeling and autologous platelet concentrate (APC) injected over the macular hole. At one month follow-up, the macular hole had closed on exam and optical coherence tomography (OCT), and the patient reported subjective visual improvement. To our knowledge, this report presents the first case of a chronic giant macular hole successfully closed after undergoing surgery with adjuvant platelets therapy.
Chicagoland Retinal Consultants ; Department of Ophthalmology, University of Texas Medical Branch at Galveston.
Mircea
M
Coca
Department of Ophthalmology, University of Texas Medical Branch at Galveston.
Fuad
F
Makkouk
Department of Ophthalmology, University of Texas Medical Branch at Galveston.
Renata
R
Picciani
Department of Ophthalmology, University of Texas Medical Branch at Galveston.
Bernard
B
Godley
Department of Ophthalmology, University of Texas Medical Branch at Galveston.
Ahmed
A
Elkeeb
macular hole; platelets; retina; trauma