Dr. AMIT NENE

, Dr. SMITESH K. SHAH, Dr.PUSHPANJALI BADOLE, Dr. NEELAM SADHWANI

Abstract

Macular hole surgery is one of the most challenging surgeries with gratifying outcomes if performed early. Most commonly ILM peeling with gas tamponade is the preferred choice of surgery for idiopathic macular holes. However few cases have persistent macular hole which require alternative management. Various techniques like amniotic membrane graft, capsular graft, autologus serum, fibrin glue, retinal grafts and re-tamponade with long acting gas have been considered previously such scenarios. Here we report two cases who underwent primary macular hole surgery in which the hole persisted. Re- surgery was planned where autologus ILM graft from the unpeeled site was taken and plugged in the hole resulting into good visual and anatomical outcomes. This method is simple, and alternative approach for management of persistent macular hole.