Postoperative persistentmacular hole after standard surgery with ILM peeling is a rare but possible finding.

The strategy for further treatment is still under debate and ample treatment recommendations have been published. The aim is to report the surgical outcome with the radial retinal incisions technique.


Sseven eyes underwent a second procedure in which five full-thickness neurosensory retina radial incisions were made, beginning one hole diameter away from its border and extending centripetally until the hole’s margins, avoiding the papilomacular bundle, followed by gas tamponade and face-down positioning for one week.


Anatomical closure was achieved in all cases with the second procedure without any complications. Functional success was achieved in every patient with a mean line score gain of 5.6 lines. This technique can be an option for those cases in which the ILM peeling procedure has been already performed.