American journal of ophthalmology case reports · 2026
Autologous Tenon's capsule for post-vitrectomy macular hole closure: A case report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Al-Muzaffar Maryam, Pai Anant, Abdelzaher Osman, Serhan Hashem Abu
Аннотация
PURPOSE: To report the anatomical and visual outcomes of autologous Tenon's capsule patch grafting for closure of a large post-vitrectomy full-thickness macular hole.
OBSERVATIONS: A 63-year-old female with proliferative diabetic retinopathy presented with decreased vision in the right eye. Optical coherence tomography demonstrated a 1112 μm full-thickness macular hole. Due to prior internal limiting membrane peeling, insufficient tissue remained for conventional techniques, an autologous Tenon's capsule graft was harvested through a limited conjunctival peritomy and positioned on the macular defect. Silicone oil tamponade was used to stabilize the graft. One-month follow-up demonstrated anatomical closure of the macular hole, which remained stable at 6 months. Visual acuity improved from hand motion preoperatively to 1/60 at final follow-up.
CONCLUSIONS AND IMPORTANCE: Autologous Tenon's capsule patch grafting may serve as a useful surgical alternative for large post-vitrectomy macular holes when internal limiting membrane tissue is unavailable.
OBSERVATIONS: A 63-year-old female with proliferative diabetic retinopathy presented with decreased vision in the right eye. Optical coherence tomography demonstrated a 1112 μm full-thickness macular hole. Due to prior internal limiting membrane peeling, insufficient tissue remained for conventional techniques, an autologous Tenon's capsule graft was harvested through a limited conjunctival peritomy and positioned on the macular defect. Silicone oil tamponade was used to stabilize the graft. One-month follow-up demonstrated anatomical closure of the macular hole, which remained stable at 6 months. Visual acuity improved from hand motion preoperatively to 1/60 at final follow-up.
CONCLUSIONS AND IMPORTANCE: Autologous Tenon's capsule patch grafting may serve as a useful surgical alternative for large post-vitrectomy macular holes when internal limiting membrane tissue is unavailable.