Inverted temporal internal limiting membrane flap technique for chronic large traumatic macular hole

Bibliographic Details
Title: Inverted temporal internal limiting membrane flap technique for chronic large traumatic macular hole
Authors: Kumari, Archana, Agarwal, Lalit, Agrawal, Nisha, Sahu, Sabin, Prasad, Indranath, Pradhan, Deepti
Source: GMS Ophthalmology Cases, Vol 10, p Doc27 (2020)
Publisher Information: German Medical Science GMS Publishing House, 2020.
Publication Year: 2020
Collection: LCC:Ophthalmology
Subject Terms: traumatic macular hole, chronic large traumatic macular hole, inverted temporal internal limiting membrane flap technique, Ophthalmology, RE1-994
More Details: Various modifications of surgical techniques and surgical adjuncts ardopted with standard pars plana vitrectomy (PPV) to improve the outcome of traumatic macular hole (TMH) surgeries. We describe a successful closure of a chronic large TMH of three years duration with inverted temporal internal limiting membrane (ILM) flap technique. ld male patient had an optical coherence tomography (OCT) documented chronic macular hole (MH) for three years following blunt trauma. Fundus examination also showed choroidal rupture scar temporal to fovea. The minimum MH diameter was 769 µ and the basal diameter 1431 µ in OCT. Standard PPV with inverted temporal ILM flap and gas tamponade was done. The postoperative period was uneventful. The best corrected visual acuity improved from 6/60 preotively to 6/18 six months postoperatively, and OCT showed a closed MH with anatomical type 1 closure. This case highlights that the inverted temporal ILM flap technique is a safe and effective technique for patients with even chronic and large TMH.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2193-1496
Relation: http://www.egms.de/static/en/journals/oc/2020-10/oc000154.shtml; https://doaj.org/toc/2193-1496
DOI: 10.3205/oc000154
Access URL: https://doaj.org/article/ed4eec16e015438bbce57b7d7f34f455
Accession Number: edsdoj.4eec16e015438bbce57b7d7f34f455
Database: Directory of Open Access Journals
More Details
ISSN:21931496
DOI:10.3205/oc000154
Published in:GMS Ophthalmology Cases
Language:English