AI Article Synopsis
- The inverted Inner Limiting Membrane (ILM)-flap technique sometimes fails to treat Optic disc pit maculopathy (ODPM), prompting exploration of alternative surgical methods.
- A case study involved a patient with poor visual acuity post-ILM-flap who underwent implantation of a human amniotic membrane (hAM) patch, demonstrating gradual improvement in ODPM and partial recovery of vision.
- This suggests that hAM patch implants could be a viable option for treating unresolved ODPM after failed ILM-flap techniques, with no reported complications.
Article Abstract
Background/purpose: Inverted Inner Limiting Membrane (ILM)-flap approach can fail in the treatment of Optic disc pit maculopathy (ODPM). We report a surgical technique involving human amniotic membrane (hAM) patch implant to treat unresolved ODPM after inverted (ILM)-flap technique.
Case Report: One patient with decreased visual acuity (1 LogMar) after unsuccessful inverted ILM-flap technique to treat ODPM, underwent hAM patch implant and was evaluated. A surgical approach including a 2 mm size graft patch of hAM implantation over the optic disc pit followed by fluid-air exchange was performed. A gas endotamponade was finally used. The patient was instructed to maintain face-down position for the first three days after surgery. The hAM patch remained detectable over the pit for the entire 6-months follow-up. The ODPM gradually resolved and visual acuity partially recovered to 0.17 LogMar during follow-up. No postoperative complications or recurrence were reported.
Conclusion: hAM patch implant may be effective to manage ODPM after unsuccessful inverted ILM-flap.
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| http://dx.doi.org/10.1177/11206721231159692 | DOI Listing |
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