Management of traumatic macular hole and retinal detachment using amniotic membrane transplantation: A case report
Purpose: Amniotic membrane transplantation (AMT) has become an increasingly utilized technique in ophthalmologic procedures. We describe a case of a rhegmatogenous retinal detachment (RRD) associated with a traumatic macular hole (TMH) that was identified intraoperatively and successfully repaired w...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-03-01
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| Series: | American Journal of Ophthalmology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2451993625000209 |
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| author | Marcus H. Yamamoto A. Itzam Marin Irena Tsui |
| author_facet | Marcus H. Yamamoto A. Itzam Marin Irena Tsui |
| author_sort | Marcus H. Yamamoto |
| collection | DOAJ |
| description | Purpose: Amniotic membrane transplantation (AMT) has become an increasingly utilized technique in ophthalmologic procedures. We describe a case of a rhegmatogenous retinal detachment (RRD) associated with a traumatic macular hole (TMH) that was identified intraoperatively and successfully repaired with an amniotic membrane transplant (AMT). Observations: An 18-year-old-female presented to our retina clinic for evaluation and treatment following firework-related trauma to the left eye. Previous globe exploration found no globe involvement. Pre-operative examination revealed a dense traumatic cataract and superior iridodialysis. Retinal evaluation was limited, but preoperative B-scan imaging suggested a macula-involving retinal detachment (RD). Intraoperatively, a TMH was identified as the cause of the RD and was repaired using AMT. Post-operatively, the patient's visual acuity improved from light perception to hand motion. Optical coherence tomography (OCT) confirmed that the AMT was in place as well as successful hole closure. The retina remained attached following silicone oil removal. Conclusions and importance: TMH-associated RRDs are rare and challenging to manage due to their complexity and difficult preoperative evaluation. AMT offers a promising approach given its availability and minimal side effects. Given the patient's improvement in visual and anatomic outcomes, this case demonstrates the potential for AMT's expanded role in the management of TMH-associated RRDs and emphasizes the need for further research to optimize techniques and enhance outcomes. |
| format | Article |
| id | doaj-art-91f1b6014ff9463da20dad697c7cf014 |
| institution | Kabale University |
| issn | 2451-9936 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Ophthalmology Case Reports |
| spelling | doaj-art-91f1b6014ff9463da20dad697c7cf0142025-02-09T05:00:44ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362025-03-0137102267Management of traumatic macular hole and retinal detachment using amniotic membrane transplantation: A case reportMarcus H. Yamamoto0A. Itzam Marin1Irena Tsui2John A. Burns School of Medicine, University of Hawaii at Manoa, USA; Stein Eye Institute, David Geffen School of Medicine, University of California at Los Angeles, USAStein Eye Institute, David Geffen School of Medicine, University of California at Los Angeles, USAStein Eye Institute, David Geffen School of Medicine, University of California at Los Angeles, USA; Corresponding author. 100 Stein Plaza, Los Angeles, CA, 90095, USA.Purpose: Amniotic membrane transplantation (AMT) has become an increasingly utilized technique in ophthalmologic procedures. We describe a case of a rhegmatogenous retinal detachment (RRD) associated with a traumatic macular hole (TMH) that was identified intraoperatively and successfully repaired with an amniotic membrane transplant (AMT). Observations: An 18-year-old-female presented to our retina clinic for evaluation and treatment following firework-related trauma to the left eye. Previous globe exploration found no globe involvement. Pre-operative examination revealed a dense traumatic cataract and superior iridodialysis. Retinal evaluation was limited, but preoperative B-scan imaging suggested a macula-involving retinal detachment (RD). Intraoperatively, a TMH was identified as the cause of the RD and was repaired using AMT. Post-operatively, the patient's visual acuity improved from light perception to hand motion. Optical coherence tomography (OCT) confirmed that the AMT was in place as well as successful hole closure. The retina remained attached following silicone oil removal. Conclusions and importance: TMH-associated RRDs are rare and challenging to manage due to their complexity and difficult preoperative evaluation. AMT offers a promising approach given its availability and minimal side effects. Given the patient's improvement in visual and anatomic outcomes, this case demonstrates the potential for AMT's expanded role in the management of TMH-associated RRDs and emphasizes the need for further research to optimize techniques and enhance outcomes.http://www.sciencedirect.com/science/article/pii/S2451993625000209Amniotic membrane transplantationMacular holeRhegmatogenous retinal detachmentTraumatic macular hole |
| spellingShingle | Marcus H. Yamamoto A. Itzam Marin Irena Tsui Management of traumatic macular hole and retinal detachment using amniotic membrane transplantation: A case report American Journal of Ophthalmology Case Reports Amniotic membrane transplantation Macular hole Rhegmatogenous retinal detachment Traumatic macular hole |
| title | Management of traumatic macular hole and retinal detachment using amniotic membrane transplantation: A case report |
| title_full | Management of traumatic macular hole and retinal detachment using amniotic membrane transplantation: A case report |
| title_fullStr | Management of traumatic macular hole and retinal detachment using amniotic membrane transplantation: A case report |
| title_full_unstemmed | Management of traumatic macular hole and retinal detachment using amniotic membrane transplantation: A case report |
| title_short | Management of traumatic macular hole and retinal detachment using amniotic membrane transplantation: A case report |
| title_sort | management of traumatic macular hole and retinal detachment using amniotic membrane transplantation a case report |
| topic | Amniotic membrane transplantation Macular hole Rhegmatogenous retinal detachment Traumatic macular hole |
| url | http://www.sciencedirect.com/science/article/pii/S2451993625000209 |
| work_keys_str_mv | AT marcushyamamoto managementoftraumaticmacularholeandretinaldetachmentusingamnioticmembranetransplantationacasereport AT aitzammarin managementoftraumaticmacularholeandretinaldetachmentusingamnioticmembranetransplantationacasereport AT irenatsui managementoftraumaticmacularholeandretinaldetachmentusingamnioticmembranetransplantationacasereport |