SUCCESSFUL MANAGEMENT OF A GIANT MACULAR HOLE IN ALPORT SYNDROME USING AUTOLOGOUS RETINAL TRANSLATION AS AN INITIAL PROCEDURE.
Renu P Rajan, Avik Dey Sarkar, Anirban Chakraborti et al.
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Case in brief
A 30-year-old woman with Alport syndrome had bilateral anterior lenticonus and a giant full-thickness macular hole in her right eye, measuring 1,791 μm. She underwent cataract extraction and macular hole surgery; the internal limiting membrane was not identifiable with dye staining. An autologous retinal graft closed the defect and remained in place through follow-up, including at 6 months. Right-eye best-corrected visual acuity improved to 20/40.
What made this case unusual
The internal limiting membrane was not found during surgery, and an autologous retinal graft was used as the initial procedure to close the giant macular hole.
Diagnostic / clinical pearl
In this case, an autologous retinal graft achieved closure of a giant macular hole when the internal limiting membrane was not identifiable intraoperatively.