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

• Main Authors: Prabhushanker Mahalingam, Kumar Sambhav
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2013-01-01
• Series: Indian Journal of Ophthalmology
• Subjects: Posterior open globe injuries; posterior to rectus insertion; zone III open globe injuries; Glaucoma severity; juvenile glaucoma; juvenile-onset primary open angle glaucoma; visual field defects; Diabetic retinopathy; renal transplant; visual outcome; Gujarati; logMAR; repeatability; validity; visual acuity; Multiple sclerosis; optic neuritis; optical coherence tomography; retinal nerve fi ber layer; visual functions; Axon diameter; electron microscopy; nerve fiber layer; oligodendrocytes; pathology; Frequency doubling technology perimetry; pediatric visual field testing; standard automated perimetry; Central corneal thickness; glaucoma; pachymetry; 20G Silicone rod; monocanalicular stent; canalicular laceration repair; Coat′s like response; pigmented paravenous chorioretinal atrophy; Retinochoroiditis radiata; Dacryocystectomy; oculosporidiosis; Rhinosporidium; Infectious scleritis; microbial scleritis; ocular infection; scleritis; Congenital ectropion; congenital eyelid imbrication syndrome; congenital floppy eyelid syndrome; congenital lax upper eyelid syndrome; down syndrome; Inner retinal layer thickness; optic nerve hypoplasia; outer retinal layer thickness; retinal nerve fiber layer thickness; spectral domain optical coherence tomography; Abducens nerve palsy; hyperhomocysteinemia; isolated abducens nerve palsy; nontraumatic; Inverted internal limiting membrane flap technique; macular hole; macular hole surgery
• Online Access: http://www.ijo.in/article.asp?issn=0301-4738;year=2013;volume=61;issue=10;spage=601;epage=603;aulast=Mahalingam
• ISSN: 0301-4738; 1998-3689

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.