A Modified Perfluoro-n-octane Assisted Autologous Internal Limiting Membrane Transplant for Failed Macular Hole Reintervention: A Case Series


We describe a modified perfluoro-n-octane (PFO) assisted autologous internal limiting membrane (ILM) transplantation technique for macular hole (MH) reintervention and present our results from a series of 11 patients. We harvest a free ILM flap and transplant it into the MH under a PFO bubble. The time, at which PFO is injected, the extent of coverage of PFO and the sequence of fluid air exchange (FAE) are crucial to overcome previously described technical difficulties of relieving the flap from forceps, stabilizing the flap into the MH and prevention of flap dislodgement during FAE. A successful U shaped closure was observed in 90.9% cases (10 of 11). One case (9.1%) showed flat open closure. The postoperative visual gain was statistically significant (P value 0.01).



Sengul Ozdek
Ankara, Turkey
Email : sozdek@gazi.edu.tr
Cell Phone: +905309662142
Work Phone: +903122857445