Dr.Aditya Kapoor
Aim : To evaluate the outcomes (functional and anatomical) of the inverted internal limiting membrane (ILM) flap technique for macular hole (MH) repair.
Method : This retrospective Case series includes 18 eyes of 18 patients with idiopathic MH, who underwent 23G pars plana vitrectomy with inverted ILM flap technique and fluid gas exchange with 12% perfluoropropane (C3F8).
Results : Out of 18 patients with a mean age of 60 (range 37- 75) years, 14 were females. Duration of decreased vision was 11.56 (±5.88) months. On optical coherence tomography mean MH diameter was 1503 (±630.95)µ. Best corrected visual acuity (BCVA) improved from 1.14 (±0.46) logmar at presentation to 0.94 (±0.37) logmar at 1 month post surgery. The anatomical success of 94% (Type 1 closure- 12/18 with mean central foveal thickness of 138µ). However, IS-OS junction was restored in 1.
Conclusion : ILM flap technique is a viable and effective surgery with high anatomical and functional outcomes for MH repair.
Leave a Comment