Severe Gliosis Over a Closed Macular Hole Following Anterior Lens Capsular Flap Closure

Various management strategies, including the use of autologous and allogenic materials, are described for the management of persistent macular holes. An anterior lens capsular flap can be used, especially when cataract surgery is also planned, for a persistent full-thickness macular hole. We report...

Full description

Saved in:
Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2024-02, Vol.16 (2), p.e54190
Main Authors: Temkar, Shreyas, Rajasekar, Goutham, Jayaseelan, Jagadeeshwari, Deb, Amit K, Ramachandar, Hemanth
Format: Article
Language:English
Subjects:
Case reports
Cataracts
Patient positioning
Retina
Surgery
Tomography
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Various management strategies, including the use of autologous and allogenic materials, are described for the management of persistent macular holes. An anterior lens capsular flap can be used, especially when cataract surgery is also planned, for a persistent full-thickness macular hole. We report a case of a gentleman in his 60s who underwent anterior lens capsular flap closure for a persistent macular hole. There was an improvement in visual acuity. However, he developed severe gliosis over the closed hole in the postoperative period. This could be due to the proliferation of residual epithelial cells in the lens capsule, micro damage to the retina, or an exaggerated inflammatory response to a foreign tissue placed over the retinal surface.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.54190