Corneal Flap Transplantation for Macular Hole Repair of High Myopia

Corneal Flap Transplantation for Macular Hole Repair of High Myopia

The goal of this clinical trial is to learn about an innovative surgical technique for macular hole repair. This technique is for patients with high myopia using pars plana vitrectomy (PPV) combined with corneal flap transplantation. The main questions it aims to answer are:

• Is the innovative surgical technique useful for patients?
• Is the surgical technique safe for patients?

Participants will:

• Undergo PPV combined with corneal flap transplantation to cover the macular hole.
• Maintain a prone position for 2 weeks postoperatively.
• Be observed by visual acuity, slit lamp, optical coherence tomography (OCT) and fundus photography for 1 year after surgery.

We describe an innovative surgical technique for macular hole repair using pars plana vitrectomy (PPV) combined with corneal flap transplantation. The corneal flap was sealed with autologous blood. The vitreous cavity was then filled with perfluoropropane (C3F8) or sterile air.

Inclusion Criteria:

• Patients with macular hole and retinal detachment caused by pathologic myopia.

Exclusion Criteria:

• Patients with previous retinal surgery, trauma, other ocular diseases that could affect the vision, for example choroidal neovascularization, diabetic retinopathy, or opaque corneas were excluded.