Flower-petal inverted flap for internal limiting membrane in myopic eyes with macular hole and rhegmatogenous retinal detachment
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Date
2022-02
Journal Title
Journal ISSN
Volume Title
Publisher
All India Ophthalmological Society
Abstract
We demonstrate a modified internal limiting membrane (ILM) inverted flap technique for closure of macular holes (MHs) concurrent with rhegmatogenous retinal detachment in myopic eyes. Multiple ILM flaps were created in a flower?petal configuration around the MH over the detached retina after shallowing the retina as much as possible. Traction was always in a direction that allowed the optic disc to act as an anchor to limit iatrogenic breaks and to bridge the hole with multiple, more secure flaps should one of the flaps revert or break away. The technique proved safe and efficient in MH closure in our series of eight cases. The modification described provides an effective approach for challenging myopic cases in which ILM flap creation is needed over a detached retina.
Description
Keywords
Internal limiting membrane, inverted flap, macular hole, retinal detachment
Citation
Habib Ahmed M, Mansour Ahmed, Fouad Yousef A. Flower-petal inverted flap for internal limiting membrane in myopic eyes with macular hole and rhegmatogenous retinal detachment. Indian Journal of Ophthalmology. 2022 Feb; 70(2): 667-669