Dr.ALOK SEN

, Dr. jayanti singh

Abstract

In this video, we describe its use of autologous retinal transplantation in management of large hole with RD.

A one eyed 35-year-old male presented with recurrent RD and a large macular hole. He underwent a standard 25 gauge PPV. After stabilizing the retina with PFCL a retinal graft was harvested from the superonasal quadrant using vertical scissors. The graft was positioned in place by removing the PFCL slowly. Once in position, PFCL was reinjected over the graft taking care not to dislodge it again. SRF drainage was done from the peripheral donor site break. After complete removal of PFCL, light endolaser was applied to the inferior edge of the macular hole. C3F8 10% was used as tamponade. OCT at three months showed a type 1 closure of the macular hole with an improvement of vision to 6/36.

The video highlights the effective use of autologous retinal transplant in presence of retinal detachment secondary to a large macular hole.