Surgical outcomes of inverted internal limiting membrane flap technique for large macular hole

Abstract

We are presenting the initial results of inverted internal limiting membrane (ILM) flap technique for large macular hole. Five eyes of five patients with large diameter macular hole (>700 μm) were selected. All patients underwent inverted ILM flap technique for macular hole. Anatomical closure and functional success were achieved in all patients. There was no loss of best-corrected visual acuity in any of the patients. Inverted ILM flap technique in macular hole surgery seems to have a better hole closure rates, especially in large diameter macular holes. Larger case series is required to assess the efficacy and safety of this technique.

Comparative Evaluation of Standard ILM Peel With Inverted ILM Flap Technique In Large Macular Holes: A Prospective, Randomized Study

“…The inverted ILM flap technique is described with satisfactory results in patients with large MH 19 or high myopia. 20 In previous studies, BCVA was the only index used to compare the functional outcomes of the two surgical procedures.…”

Choroidal changes in pre-eclampsia during pregnancy and the postpartum period: comparison with healthy pregnancy

“…Kelly and Wendell (5) reported the first successful closure of MH with pars plana vitrectomy (PPV); since then, advances in vitreoretinal surgery have contributed to successful postoperative restoration of the foveal microstructure and restoration of visual function in most patients (6)(7)(8)(9)(10) . Although anatomical closure of MH may be applicable to almost all patients undergoing surgical intervention, significant improvement in visual acuity can be achieved in approximately 70% of cases (8)(9)(10)(11)(12)(13) . Macular atrophy may be responsible for inferior visual outcomes; therefore, the foveal microstructure has to be well identified in patients with MH prior to any surgical intervention.…”

Closure of an Intraoperatively Enlarged Macular Hole by Revision Surgery with Free ILM Flaps

“…In the past years, several studies showed promising results regarding functional and anatomical outcome in cases of large and persistent mac-ular holes, even with diameters up to 1000 µm. However, there is still very little data available in cases of macular holes with a diameter above 1000 µm in which category our case may serve as an important addition [5] [6].…”