Macula Hole, Myopic Macular Degeneration, Retinal Detachment
Conditions
Keywords
amniotic membrane, retinal detachment, Myopic, macular hole, internal limiting membrane
Brief summary
Macular hole surgery were tried by different surgeons using many techniques with different successes but still there were many recurrences. In this study the investigators try to close these distinct types including recurrent holes using pre-prepared amniotic membrane.
Detailed description
It is an interventional study of using amniotic membrane graft for closure of macular hole associated retinal detachment in patient who had a previous failed macular surgery.
Interventions
pars plana vitrectomy + internal limiting membrane peeling + Amniotic membrane graft placement over the hole + intraocular tamponade
Sponsors
Study design
Intervention model description
Individuals with recurrent macular hole associated retinal detachment
Eligibility
Inclusion criteria
* Patient with history of opened macular hole after previous pars plana vitrectomy and internal limiting membrane (ILM) peeling for treatment of myopic macular hole were included. * Opened holes after 1 month of the surgery. * Myopic macular holes only were included (Refraction of more than \_6 D and/or axial length of more than 26 mm).
Exclusion criteria
* All other causes of macular hole (traumatic and idiopathic) * Patients with diseases that can affect visual outcome (Diabetic retinopathy, choroidal neovascularization, age-related macular disease and advanced glaucoma patients.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Anatomical restoration of macular hole closure | 6 months | Closure of the macular hole |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Functional restoration after closure of the macular hole | 6 months | Improvement of the best corrected visual acuity (BCVA) |
Countries
Egypt