September 2016
Volume 57, Issue 12
Open Access
ARVO Annual Meeting Abstract  |   September 2016
Comparison of the inverted inner limiting membrane flap technique and the inner limiting membrane peeling method for macular hole with retinal detachment
Author Affiliations & Notes
  • Takehiro Matsumura
    ophthalmology, University of Fukui, Eiheiji, Yoshida, Fukui, Japan
  • Takeshi Tomomatsu
    ophthalmology, University of Fukui, Eiheiji, Yoshida, Fukui, Japan
  • Yoshihiro Takamura
    ophthalmology, University of Fukui, Eiheiji, Yoshida, Fukui, Japan
  • Akira Kobori
    Ophthalmology, Japanese Red Cross Fukui Hospital, Fukui, Japan
  • Masaru Inatani
    ophthalmology, University of Fukui, Eiheiji, Yoshida, Fukui, Japan
  • Footnotes
    Commercial Relationships   Takehiro Matsumura, None; Takeshi Tomomatsu, None; Yoshihiro Takamura, None; Akira Kobori, None; Masaru Inatani, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science September 2016, Vol.57, 1069. doi:
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      Takehiro Matsumura, Takeshi Tomomatsu, Yoshihiro Takamura, Akira Kobori, Masaru Inatani; Comparison of the inverted inner limiting membrane flap technique and the inner limiting membrane peeling method for macular hole with retinal detachment. Invest. Ophthalmol. Vis. Sci. 2016;57(12):1069.

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      © 2017 Association for Research in Vision and Ophthalmology.

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Abstract

Purpose : To evaluate the efficacy of vitrectomy using inverted inner limiting membrane flap technique for macular hole with retinal detachment, compared with vitrectomy using inner limiting membrane peeling method.

Methods : We reviewed the medical records of the patients who were treated with vitrectomy for macular hole with retinal detachment, retrospectively. Nine patients were enrolled in the group of vitrectomy with inverted inner limiting membrane flap technique, and 12 patients were enrolled in the group of vitrectomy with inner limiting membrane peeling. The changes of visual acuities before and after surgery, closing rates of macular holes, and reattachment rates of retinas were investigated.

Results : Macular holes were closed and retinal detachments were cured successfully in 8 eyes (88.8%) of the inverted inner limiting membrane flap technique group after vitrectomy. In the group of vitrectomy with inner limiting membrane peeling, macular holes were closed in 4 eyes (33.3%) and retinas reattached in 6 eyes (50%) after surgery. In the inverted inner limiting membrane flap technique group, mean best-corrected visual acuities were 1.61 logarithm of the minimal angle of resolution units before surgery and 1.02 after surgery. The postoperative visual acuities were significantly better than the preoperative visual acuities (P < 0.05). In the group of vitrectomy with inner limiting membrane peeling, significant changes in visual acuities before and after surgery were not observed.

Conclusions : Higher closing rates of macular holes and reattachment rates of retinas, and improvements of postoperative visual acuities were found in the group using inverted inner limiting membrane flap technique. Vitrectomy with inverted inner limiting membrane flap technique for macular hole with retinal detachment was suggested a useful method than vitrectomy with inner limiting membrane peeling.

This is an abstract that was submitted for the 2016 ARVO Annual Meeting, held in Seattle, Wash., May 1-5, 2016.

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