VT206 : Autologous internal limiting membrane plug technique for treatment naïve large macular holes

Dr.HETAL MEHTA KHANDGE, Dr.Aditya Kelkar, Dr. (Mrs.) KELKAR JAI ADITYA, Dr.AKSHAY KOTHARI

Large macular holes have been defined as measuring >400 μ microns.They have high chances of surgical failure.We studied the anatomical and functional outcome of autologous internal limiting membrane (ILM) plug technique for large macular holes in 8 patients.After ILM peeling, a small plug of the free ILM was tucked under the edges of the macular hole with ILM forceps.Postoperative vision and type of macular hole closure was noted at 1 month.The mean maximum base diameter was 1172+322 microns.The mean preoperative BCVA was 1.46+0.08 logarithm of minimal angle of resolution (logMAR) units and improved to 0.84+0.3 log-MAR units at the 1-month postoperatively (p=0.01).Type 1 macular hole closure was observed in all eyes and one patient developed retinal pigment epithelium. This technique has many advantages and is simple to perform.Autologous internal limiting membrane plug technoque has good outcome and can be considered at the time of primary vitrectomy for large macular holes.