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Results of inverted internal limiting membrane flap technique for large macular hole

Session Details

Session Title: Vitreoretinal Surgery V

Session Date/Time: Sunday 20/09/2015 | 11:00-13:00

Paper Time: 11:00

Venue: Hermes

First Author: : M.Abouhussein EGYPT

Co Author(s): :    S. Elbaha              

Abstract Details

PURPOSE:Our study aimed to evaluate results of the inverted ILM flap technique in cases of large idiopathic macular holes.

Setting:

Faculty of medicine- Alexandria University- Egypt.

Methods:

This was a prospective, non‑randomized, interventional case‑series study of 30 patients with large macular holes. All patients in the study had idiopathic large macular holes as determined by bio microscopy and optical coherence tomography (OCT) imaging. After standard vitrectomy completed, dye assisted ILM peeling was done and instead of completely removing the ILM, a remnant of ILM attached to the margins of the macular hole was left in place and inverted into the hole after trimming with cutter. Fluid air exchange was performed.

Results:

Demographic data and variables were analyzed. There were a total of 30 patients. The mean age of patients was 65.00 ± 4.85 years. The mean minimal linear diameter of the macular holes was 783.7 μm. Improvement of visual acuity was noted in all patients (100%) . There were no intraoperative or post‑operative complications. All the patients were followed up for at least 6 months.

Conclusions:

Our study found that the closure rate of macular hole following this technique was 100% and the functional outcome were also better. But, a larger study group and longer follow‑up period is required to further evaluate this method.

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