Can a patch of the Eye's own tissue seal stubborn macular holes?
NCT ID NCT07760259
First seen Aug 12, 2026 · Last updated Aug 13, 2026 · Updated 1 time
Summary
This trial is testing whether a piece of the patient's own eye tissue, called Tenon's capsule, can help close large or recurrent macular holes—tears in the center of the retina that can blur or distort vision. During standard vitrectomy surgery, the tissue is harvested and placed over the hole, followed by a silicone oil fill to support healing. The study will follow 50 adults for six months to see if the hole closes and if vision improves, while also checking for any complications.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Autologous Tenon's capsule autograft (a piece of the patient's own eye tissue) implanted during vitrectomy surgery
- What this could lead to
- If successful, this could offer a new surgical option for difficult-to-treat macular holes, potentially improving closure rates and vision in patients who have few alternatives.
- What could go wrong
- This is a small, early-stage trial, and the procedure is complex. The graft may not integrate well, and there are risks of infection, bleeding, or other surgical complications. Results may not generalize to all patients.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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50 people
The number who actually took part.
- Started
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Jul 2025
- Finished
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May 2026
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adults aged 18 years or older. * Large full-thickness macular hole (minimum diameter \>400 µm on optical coherence tomography). * Chronic macular hole (duration \>6 months). * Recurrent or persistent full-thickness macular hole following previous vitrectomy with or without internal limiting membrane peeling. * High-myopic full-thickness macular hole (axial length \>26 mm) without active foveoschisis or retinal detachment. * No active ocular infection or uncontrolled intraocular inflammation. * Able and willing to comply with postoperative face-down positioning and scheduled follow-up visits. * Provided written informed consent. Exclusion Criteria: * Macular hole associated with rhegmatogenous, tractional, exudative, or combined retinal detachment. * Significant ocular comorbidities that could affect visual outcomes (e.g., advanced glaucoma, proliferative diabetic retinopathy, or severe uveitis). * Active intraocular infection or inflammation. * Extensive macular atrophy or scarring (e.g., end-stage myopic degeneration). * Unhealthy Tenon's capsule or severe conjunctival scarring preventing adequate graft harvest. * Systemic conditions that preclude vitreoretinal surgery or impair wound healing, including uncontrolled diabetes mellitus or bleeding disorders.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Benha University
Banhā, Benha, 13111, Egypt
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Other studies related to the condition(s) this trial covers.
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