Vitrectomy With Internal Limiting Membrane Transplants in the Closure of 2 Adjacent Macular Holes

Abstract

Purpose:

Two adjacent macular holes (MHs), which were noted in the highly myopic left eye of an 85-year-old woman, is an uncommon clinical presentation. This case report presents the successful closure of the 2 adjacent MHs using internal limiting membrane (ILM) transplants during vitrectomy that included.

Methods:

ILM transplants were placed within both MHs during vitrectomy that included ILM peeling and fluid gas exchange with 18% perfluoropropane (C₃F₈) and postoperative facedown positioning for 1 week.

Results:

Both MHs were successfully closed following surgery with improvement in vision and decrease in metamorphopsia.

Conclusions:

This case suggested that relief of traction by ILM peeling and placement of ILM transplants within both MHs to provide a scaffold and stimulate glial tissue proliferation may have facilitated closure of the 2 adjacent MHs, which is a difficult management problem to manage and not previously reported to the best of our knowledge.