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CASE REPORT
Year : 2022  |  Volume : 60  |  Issue : 2  |  Page : 183-185

Tapping and Autologous Serum - A Novel Technique for Macular Hole


1 Department of Ophthalmology, Sri Guru Ramdas Institute of Medical Sciences and Research, Amritsar, Punjab, India
2 Sardar Bahadur Dr Sohan Singh Eye Hospital, Amritsar, Punjab, India
3 Amritsar Eye Hospital, Amritsar, Punjab, India

Correspondence Address:
Taranpreet K Chitkara
Department of Ophthalmology, Sri Guru Ramdas Institute of Medical Sciences and research, House Number 25, Krishan Garh Colony, Inside Chati Wind Gate, Amritsar - 143001, Punjab
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/tjosr.tjosr_165_21

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We describe here a case of a large, chronic idiopathic macular hole in a patient which was treated using autologous blood serum in combination with tapping the macular hole edges. We achieved successful macular hole closure and improvement in postoperative visual acuity. According to the literature, inverted flap technique continues to be the most accepted form of technique. It also requires experience and skill on the part of surgeon, on the contrary autologous serum in combination with tapping the macular hole edges is a simple, effortless, and relatively non-traumatic option. The combined use of tapping the macular hole edges and applying autologous blood serum is advantageous because the autologous blood serum in proper position probably acts like a natural glue to the tapped edges of macular hole and promotes the proliferation of glial cells. This novel combination technique may be particularly advantageous in chronic or recalcitrant holes particularly large macular holes.


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