Dr. RAMYA APPANRAJ

, Dr. SARAVANAN V.R.

Abstract

AIM: This video is to describe various surgical techniques for management of persistent or recurrent myopic macular hole that fail to close after primary internal limiting membrane (ILM) peeling surgery

METHODS: . Though there are different options available for persistent hole, the options are very limited while treating persistent myopic macular hole. In this video , we describe 2 such cases of recurrent myopic macular hole which was managed effectively with ILM graft in one case and Neuro sensory retinal auto graft in other case along with temporal relaxing retinectomy . In both the cases, anatomical closure was obtained and there was improvement in visual acuity. To conclude, persistant myopic macular hole is surgically quiet challenging due to the underlying RPE atrophy, presence of foveal schisis, posterior staphyloma, long axial length, these techniques can be tried to increase further anatomical and functional success in cases of refractory macular holes.