Autologous blood as an adjuvant to inverted internal limiting membrane flaps in closure of a large traumatic macular hole.

Macular hole surgeries yield positive anatomical and visual results. However, in cases of large or chronic macular holes, closure may be incomplete or unsuccessful. To enhance anatomical closure, vitrectomy combined with multiple adjuvant options has been employed, including inverted internal limiting membrane (ILM) flaps, autologous retinal transplant, amniotic membrane grafts, and autologous blood products. This case report demonstrates the advantage of using a patient's blood as an adjuvant to inverted ILM flaps for successful closure of a large traumatic macular hole.