How to Close a Macular Hole Using Subretinal Fluid

In this video, Dr. Carsten Meyer presents a novel method to treat macular holes. Although vitrectomy has a 95% success rate for closing macular holes, the rate lowers with larger or older holes. Dr. Meyer proposes a novel approach that may be more effective: injection of fluid to release subretinal adhesions. In this method, he injects fluid under the retina, around the hole, until the liquid is confluent and attached to the hole; this causes the retina to retract from the retinal pigment epithelium. The retina is now mobile and can be shifted to cover the fovea. Dr. Meyer reports that the technique is successful for most cases of refractive macular holes, and reported his findings in the International Journal of Retina and Vitreous. 

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