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Busquets M. Bimanual Technique With Perfluoro-N-Octane for Human Amniotic Membrane Transplantation in Refractory Optic Disc Pit Maculopathy. JOURNAL OF VITREORETINAL DISEASES 2024; 8:86-90. [PMID: 38223769 PMCID: PMC10786083 DOI: 10.1177/24741264231213433] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/16/2024]
Abstract
Purpose: To describe a patient with optic disc pit (ODP) maculopathy who presented with poor vision and treatment outcomes. Methods: An amniotic membrane transplantation (AMT) was performed using a bimanual technique with perfluoro-N-octane endotamponade after failure of other techniques to yield resolution of subretinal fluid (SRF). Results: Successful adhesion of the human amniotic membrane graft to the host resulted in sustained resolution of the SRF and significant improvement in visual acuity within 2 weeks. Conclusions: AMT is a viable therapeutic option for patients with vision loss associated with submacular fluid from ODPs. The bimanual technique with perfluorocarbon assistance provides the vitreoretinal surgeon with an additional technical alternative for surgical treatment of ODP maculopathy.
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Affiliation(s)
- Miguel Busquets
- Retina Associates of Kentucky, EyeCare Partners, Lexington, KY, USA
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Celo E, Whelan AD, Seamone CD, Gupta RR. Internal Plugging of a Traumatic Posterior Perforation Site Using Donor Sclera, Human Amniotic Membrane, and Fibrin Glue: A Novel Surgical Technique. JOURNAL OF VITREORETINAL DISEASES 2023; 7:536-539. [PMID: 38022792 PMCID: PMC10649450 DOI: 10.1177/24741264231195675] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2023]
Abstract
Purpose: To describe a novel surgical approach to treat traumatic posterior perforating injuries. Methods: A case and its findings were analyzed. Results: A 21-year-old man presented with bilateral intraocular foreign bodies that were sustained while hammering a metal railway pin. In the left eye, the foreign body was embedded in the posterior scleral wall, resulting in a 2 mm × 6 mm posterior perforation and partial retinal detachment. Silicone oil tamponade could optimize the chances for retinal reattachment; however, there was concern that the silicone oil would migrate through the posterior defect and into the orbit. Therefore, the perforation site was filled using a 3-layer plug consisting of donor sclera, human amniotic membrane, and fibrin glue. The silicone oil was successfully maintained within the globe; however, the final visual acuity was limited due to proliferative vitreoretinopathy. Conclusions: The efficacy and safety of the 3-layer plug technique should be further validated in similar cases.
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Affiliation(s)
- Erdit Celo
- Department of Ophthalmology and Visual Sciences, Dalhousie University, Halifax, NS, Canada
| | - Ashley D. Whelan
- Department of Ophthalmology and Visual Sciences, Dalhousie University, Halifax, NS, Canada
| | - Christopher D. Seamone
- Department of Ophthalmology and Visual Sciences, Dalhousie University, Halifax, NS, Canada
| | - R. Rishi Gupta
- Department of Ophthalmology and Visual Sciences, Dalhousie University, Halifax, NS, Canada
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Caporossi T, D'Amico G, Tartaro R, Governatori L, Scampoli A, Amorelli G, De Vico U, Rizzo S. Optic Disk Pit Maculopathy Treatment Using a Human Amniotic Membrane Patch: One-Year Results. Am J Ophthalmol 2022; 240:30-36. [PMID: 35227693 DOI: 10.1016/j.ajo.2022.02.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2021] [Revised: 02/07/2022] [Accepted: 02/08/2022] [Indexed: 11/19/2022]
Abstract
PURPOSE To report the 1-year results of human amniotic membrane patch implantation for optic disc pit maculopathy. DESIGN A prospective, consecutive, interventional study. METHODS Eleven eyes of 11 patients affected by optic disc pit maculopathy associated with subretinal/intraretinal fluid were included in this single-institution study. A 25-gauge pars plana vitrectomy was performed in all cases, with an implant of a human amniotic membrane patch into the optic disc pit and air was injected as endotamponade. The primary study outcome was the subretinal and intraretinal fluid reabsorption. Secondary outcomes were visual acuity improvement and postoperative complications. RESULTS Mean central retinal thickness gradually diminished from 512 ± 137 µm to 243 ± 19 µm, at the 12-month follow-up. The mean visual acuity improved from 20/80 at baseline to 20/32 at the 12-month follow-up. Complete fluid resorption occurred in 9 of 11 (81.8%) eyes and there was partial resorption in 2 eyes (18%). No subretinal fluid recurrence was observed during the 12-month follow-up. No intraoperative or postoperative complications were reported during the follow-ups. The amniotic membrane patch remained detectable inside the pit for the entire follow-up time. CONCLUSION An amniotic membrane plug may be effective for improving optic disc pit maculopathy. All cases had an anatomical improvement and encouraging visual acuity recovery.
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Affiliation(s)
- Tomaso Caporossi
- From Department of Ophthalmology, Catholic University of Sacred-Heart Foundation "Policlinico Universitario A. Gemelli" IRCCS, Rome (T.C, G.D'A, A.S, G.A, U.DeV, S.R)
| | - Guglielmo D'Amico
- From Department of Ophthalmology, Catholic University of Sacred-Heart Foundation "Policlinico Universitario A. Gemelli" IRCCS, Rome (T.C, G.D'A, A.S, G.A, U.DeV, S.R)
| | - Ruggero Tartaro
- Department of NEUROFARBA, Ophthalmology, University of Florence, Careggi, Florence, Italy (R.T, L.G).
| | - Lorenzo Governatori
- Department of NEUROFARBA, Ophthalmology, University of Florence, Careggi, Florence, Italy (R.T, L.G)
| | - Alessandra Scampoli
- From Department of Ophthalmology, Catholic University of Sacred-Heart Foundation "Policlinico Universitario A. Gemelli" IRCCS, Rome (T.C, G.D'A, A.S, G.A, U.DeV, S.R)
| | - Giulia Amorelli
- From Department of Ophthalmology, Catholic University of Sacred-Heart Foundation "Policlinico Universitario A. Gemelli" IRCCS, Rome (T.C, G.D'A, A.S, G.A, U.DeV, S.R)
| | - Umberto De Vico
- From Department of Ophthalmology, Catholic University of Sacred-Heart Foundation "Policlinico Universitario A. Gemelli" IRCCS, Rome (T.C, G.D'A, A.S, G.A, U.DeV, S.R)
| | - Stanislao Rizzo
- From Department of Ophthalmology, Catholic University of Sacred-Heart Foundation "Policlinico Universitario A. Gemelli" IRCCS, Rome (T.C, G.D'A, A.S, G.A, U.DeV, S.R)
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