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Novel technique shows promise for repair of recalcitrant macular holes
Arcuate retinotomy may prove beneficial in the repair of large macular holes that cannot be closed with conventional methods, according to a study.
The retrospective case series included six phakic eyes of six patients with large macular holes and previous failed primary repair. Patients underwent 25-gauge pars plana vitrectomy revision combined with full-thickness temporal macular arcuate retinotomy and fluid-gas exchange.
Average follow-up was 26.5 months. Evidence of macular hole closure in optical coherence tomography images was the primary outcome measure. Secondary measures included visual acuity and visual field analysis.
The review showed that macular holes were closed in five eyes and visual acuity was improved in three eyes.
“Because this technique has shown success in the initial testing stages, a larger prospective case series that addresses [the current study’s] limitations should be undertaken to fully evaluate the success rate, potential complications, and the patient population in which this technique is most applicable,” the study authors said.