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Jung Min Park, Dong hun Song, Myeong In Yeom, Soo Jung Lee; The Treatment of Large Macular Hole using Multi-Layered Inverted ILM Flap Technique. Invest. Ophthalmol. Vis. Sci. 2018;59(9):867.
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© ARVO (1962-2015); The Authors (2016-present)
To evaluate the surgical outcome of multi-layered inverted internal limiting membrane(ILM) flap technique for the treatment of large macular hole.
For the treatment of patient with full thickness macular hole larger than 800 μm, Pars plana vitrectomy was peformed and ILM was stained using 0.05% indocyanine green(ICG). After Multi-layered Inverted ILM flap technique, fluid-air exchange and gas injection were performed. After all the procedure, the macular hole was scanned using spectral domain optical coherence tomography(OCT) and measure the best-corrcted visual acuity(BCVA).
The mean age of 12 people was 65.2±12.3 years. Mean BCVA(logMAR) was 1.27±0.61. The mean hole size was 563.6±221.9 μm , mean vertical size was 418.8±80.9 μm and mean hole base size was 1182.8±298.5 μm. The mean follow up period of 12 patients was 174.4±143.3days. 9 macular hole was closed after surgery but 3 macular hole was not closed. The post operative mean BCVA(logMAR) was 0.21±0.51. 8 eyes showed visual improvement but 3 did not after macular hole surgery.
Macular hole was closed succefully and visual acuity was improved after multi-layered inverted ILM flap technique. Based on our result, multi-layered inverted ILM flap technique can be considered the treatment of choice for large macular hole.
This is an abstract that was submitted for the 2018 ARVO Annual Meeting, held in Honolulu, Hawaii, April 29 - May 3, 2018.
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