Blood-clump assisted procedure effective in repairing macular hole
A novel blood clump-assisted procedure safely and efficiently labels the posterior vitreous and coats the internal limiting membrane (ILM) for the reparation of macular hole (MH).
A novel blood clump-assisted procedure safely and efficiently labels the posterior vitreous and coats the internal limiting membrane (ILM) for the reparation of macular hole (MH), states an investigation featured in Retina.
A team led by Dr Lai Chi-Chun, Department of Ophthalmology, Chang-Gung Memorial Hospital, Taoyuan, Taiwan, enrolled 26 patients with MH. Each patient underwent ILM peeling and was administered a blood clump consisting of autologlous whole blood with 5% glucose water.
The solution was used to cover the ILM surface in the macular area. Forceps were used to extract the blood clump-coated ILM. The outcome measures included MH closure rate, preoperative and postoperative best-corrected visual acuity change and retinal changes.
In 24 eyes the MHs were closed by single surgery and 2 holes were closed after a second gas-fluid exchange. Preoperative and postoperative mean best-corrected visual acuities were 0.96 ± 0.3 and 0.38 ± 0.3, respectively.
Using the novel blood clump-assisted procedure enhanced the visibility of ILM and was proved to be safe and effective in repairing MH.
Newsletter
Join ophthalmologists across Europe—sign up for exclusive updates and innovations in surgical techniques and clinical care.
