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Akira shiono, Hiroki Sasaki, Jiro Kogo, Hitoshi Takagi; Evaluation of inverted internal limiting membrane flap technique in the treatment for macular hole-associated retinal detachment in high myopia. Invest. Ophthalmol. Vis. Sci. 2016;57(12):1067.
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© ARVO (1962-2015); The Authors (2016-present)
To evaluate the efficacy of inverted internal limiting membrane (ILM) flap technique for macular hole associated retinal detachment (MHRD) in high myopia.
16 eyes with MHRD were divided into 2 groups based on the surgical procedure (Inverted ILM flap technique: 7 eyes, ILM peeling: 9 eyes). The best corrected visual acuity（BCVA）and anatomical success were compared before and after surgery. The anatomical success was evaluated using spectral-domain optical coherence tomography. High myopia was defined as an eye with an axial length of more than 27mm.
The axial length was not significantly different between two groups (Inverted ILM flap technique:30.2±2.4um, ILM peeling:30.1±1.9um, p=0.95). The log MAR BCVA before and 6 months after surgery were 1.05±0.5, 0.68±0.35 in Inverted ILM flap technique group, and 1.00±0.44, 1.03±0.42 in ILM peeling group. The BCVA at 6 months were better with Inverted ILM flap technique group than with ILM peeling group (p=0.038). The primary MH closure rates were significantly higher with Inverted ILM flap technique group than with ILM peeling group (100%, 55.5%, p=0.04). Final retinal reattachment rates were 100% and 88.8%, respectively (p=0.36).
The Inverted ILM flap technique contributed higher anatomical and visual success in patients with MHRD. The Inverted ILM flap technique can be substantial treatment methodology to cure high myopic MHRD patients.
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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