First Author: M.Cuesta Lasso SPAIN
Co Author(s): A. Mateos Hernandez E. Pertejo Fernandez I. Garzo Garcia M. Franco Benito A. Garrote Llorden N. Spagnoli Santa Cruz
Back to previous
Inverted internal limiting membrane (ILM) flap technique has recently been reported in a limited number of studies as an effective surgical technique for the management of large macular holes (MHs) with fair closure rates as well as gains in visual acuity. We describe two cases of MH treated by vitrectomy and inverted internal limiting membrane flap technique.
High definition spectral‑domain optical coherence tomography (SD‑OCT), angiography OCT, 10:2 visual perimetry and multi‑focal electroretinogram (mfERG) were performed and analyzed in both patients.
Two patients with large 4 stage MH were subjected to combined phacoemulsification, intraocular lens implant, 23 G pars plana vitrectomy and inverted ILM flap technique to repair them. Functional and anatomical results are analyzed here by different techniques.
Both patients with large and, at least one year evolutioned, 4 stage MH improved their visions from 020/400 to 20/200 in the first and 20/200 to 20/63 in the second case. The holes were closed in the first month after surgery.
Inverted ILM flap technique seems to be safe and effective for the management of large MHs with favourable short‑term anatomical and functional results.