**17. Lens capsule flap transplantation (LCFT)**

When there is no ILM available, the lens capsule may be used as an alternative tool to encourage MH closure in refractory cases [97]. The procedure entails staining the anterior (AC) or posterior capsule (PC). In phakic patients, combined cataract surgery was performed, and the AC was used, and in pseudophakic patients, the PC. The flap was trimmed and positioned within the hole. Anatomic and functional results are promising but the challenge of flap dislocation remains an issue.
