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Ryo Baba, Yoshihiro Wakabayashi, Kazuhiko Umazume, Daisuke Muramatsu, Hiroshi Goto; Inverted internal limiting membrane flap technique for macular hole retinal detachment.. Invest. Ophthalmol. Vis. Sci. 2016;57(12):1041.
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© ARVO (1962-2015); The Authors (2016-present)
To assess the surgical outcomes of inverted internal limiting membrane (ILM) flap technique for macular hole retinal detachment in highly muopic eye(MHRD).
Retrospective case series reviewed with medical records. Consenctive 17 eyes of 17 patients with MHRD who underwent vitrectomy with inverted ILM flap technique at Tokyo Medical University Hospital. Mean age of patients were 72. Follow up periods were mean 17months (range 3 to 49). Mean axial length were 30.2mm. Patients were divided to 2 groups. Regular surgery group (group1) underwent standard 3-port pars plana vitrectomy with completely ILM peeling after brilliant blue G dye staining. In another group (group2), patients underwent vitrectomy with inverted ILM flap technique. In both group, C3F8 gas tamponade and postoperative prone positioning for few days were performed. Main outcome measures were primary retinal reattachment, anatomic closure of macular hole and visual acuity.
Primary reattachment ratio was 86% of group1 and 100% of group2. Closure of MH was achieved in 43% of group 1, 80% of group 2, respectively (p=0.07). Snellen BCVA outcome of both group had not significant difference with 0.2 (0.02to0.4) in group1, 0.1 (0.01to0.8) in group2.
The inverted ILM flap technique may influence better reattachment ratio and macular hole closure without improvement of visual acuity.
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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