American Journal of Ophthalmology Case Reports · Published 2026-07-29 · DOI 10.1016/j.ajoc.2026.102635
Maryam Al-Muzaffar, Anant Pai, Osman Abdelzaher, Hashem Abu Serhan
Purpose: To report the anatomical and visual outcomes of autologous Tenon's capsule patch grafting for closure of a large post-vitrectomy full-thickness macular hole. Observations: A 63-year-old female with proliferative diabetic retinopathy presented with decreased vision in the right eye. Optical coherence tomography demonstrated a 1112 μm full-thickness macular hole. Due to prior internal limiting membrane peeling, insufficient tissue remained for conventional techniques, an autologous Tenon's capsule graft was harvested through a limited conjunctival peritomy and positioned on the macular defect. Silicone oil tamponade was used to stabilize the graft. One-month follow-up demonstrated anatomical closure of the macular hole, which remained stable at 6 months. Visual acuity improved from hand motion preoperatively to 1/60 at final follow-up. Conclusions and importance: Autologous Tenon's capsule patch grafting may serve as a useful surgical alternative for large post-vitrectomy macular holes when internal limiting membrane tissue is unavailable.
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Al-Muzaffar, M., Pai, A., Abdelzaher, O., et al. (2026). Autologous Tenon's capsule for post-vitrectomy macular hole closure: A case report. American Journal of Ophthalmology Case Reports. https://doi.org/10.1016/j.ajoc.2026.102635