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Inverted internal limiting membrane flap technique for very large macular hole

International Journal of Ophthalmology(English edition) 2016年第8期9卷 1230-1232页

作者： mitali khodani Pooja Bansal Raja Narayanan Jay Chhablani Kanuri Santhamma Retina Vitreous Centre LV Prasad Eye Institute Kallam Anji Reddy Campus Dr. Rajendra Prasad Centre for Ophthalmic Sciences All India Institute of Medical Sciences

AIMTo assess the anatomical and visual outcome of idiopathic macular holes greater than 1000 µm using the inverted internal limiting membrane flap *** retrospective case series included 5 eyes of 5 patients with idiopathic macular hole with base diameter greater than 1000 µm who underwent inverted internal limiting membrane flap technique along with standard 23G pars plans vitrectomy with posterior hyaloid detachment and fluid gas exchange with 12%-14% perfluoropropane (C3F8). Preoperative and postoperative visual acuity and spectral domain optical coherence tomography images were evaluated. The main outcome measures were visual outcome and macular hole *** age was 63.2±8.4y with all 5 subjects being females. Mean duration of symptoms was 11±14mo with a mean postoperative follow up of 13.2±13mo. The mean base diameter of the macular holes was 1420±84.8 µm (1280-1480 µm). Type 1 closure was achieved in four out of five patients, while one patient had type 2 closure using the inverted internal limiting membrane (ILM) flap technique. Median baseline BCVA was 0.79 logMAR (Snellen’s equivalent 20/120) and median final BCVA 0.6 logMAR (Snellen’s equivalent 20/80) with mean visual improvement of approximately three lines improvement. No complications related to surgical procedure were *** inverted internal limiting membrane flap technique may be promising for very large macular holes with high rate of macular closure and good visual outcome.

关键词： inverted internal limiting membrane flap technique vitrectomy macular hole

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