Abstract

55/Male was operated in his Right Eye(RE) for Full Thickness Macular Hole(FTMH) previously with no improvement in vision(VN) at 6/60.90D revealed a persistent Large FTMH.OCT RE showed FTMH with Base Diameter of 1656microns.So ART was planned in a prior ILM peeled surgery to close the hole.Initially an area of 3000microns was lasered circumferentially in the superonasal quadrant, then the inside of the lasered area was cauterised in a circular fashion and then with retinal scissors multiple micro incisions were made along the diathermy margin, followed by PFCL injection till the equator.Then with the help of forceps the retinal flap was gradually raised along the edge and gently placed over the macular hole under PFCL.No tucking was done.FAE was performed followed by slow PFCL removal with additional rows of laser to the harvest area to prevent RD and closed under C3F8 tamponade.Intraop graft was stable.3 weeks post op,OCT RE showed a closed FTMH with VN improving to 6/24P.