Dr.Atul Dhawan, Dr.Pallavi dhawan, Dr. NISHA CHANDNANI, Dr. ANUSHA VENKATARAMAN
A 24 yr man with a history of trauma 10 year back and a known case of Macular From 6 years and profound loss of vision from last 4 years. On examination he was diagnosed as a case of full thickness Macular hole with large Macular cyst with total RD.
Surgery was started with Phacoemulsification and iol implantation followed by triamcinolone assisted PVD induction. After this ilm was stained with brilliant blue. The idea was to do temporal Inverted ilm flap but ilm was very sticky and becaz of cyst and detachment peeling was not possible.So surgeon used his left hand as counterforce ( as shown in demo) to peel ilm and to invert it inside hole. After this from nasal drainage retinotomy fluid – air- exchange was done followed by laser and silicone oil injection. After 2 days cyst was absorbed and retina was flat. Bcva was 1/60.
Inverted ilm flap is a good technique in retinal detachment with large Macular hole.
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