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A Modification of the Inverted Internal Limiting Membrane Flap Technique without Heavy Liquids and Prone Posturing

Kaiser, Klemens Paul ; Ernst, Sophie-Christin ; Somfai, Gabor Mark ; Becker, Matthias Dieter ; Heussen, Florian Moritz

Klinische Monatsblatter fur Augenheilkunde, 2024-01, Vol.241 (1), p.88 [Periódico revisado por pares]

Germany

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  • Título:
    A Modification of the Inverted Internal Limiting Membrane Flap Technique without Heavy Liquids and Prone Posturing
  • Autor: Kaiser, Klemens Paul ; Ernst, Sophie-Christin ; Somfai, Gabor Mark ; Becker, Matthias Dieter ; Heussen, Florian Moritz
  • Assuntos: Epiretinal Membrane - surgery ; Female ; Humans ; Male ; Retinal Perforations - diagnosis ; Retinal Perforations - surgery ; Retrospective Studies ; Tomography, Optical Coherence ; Vitrectomy - methods
  • É parte de: Klinische Monatsblatter fur Augenheilkunde, 2024-01, Vol.241 (1), p.88
  • Descrição: Primary closure of large macular holes remains challenging, and variations of inverted inner limiting membrane (ILM) flap surgery have been described. In the present retrospective, interventional, single-centre case series, we propose a superior flap design with minimal posturing. Eight eyes of eight patients (four women and four men) in the period between July 2020 and March 2022 underwent 23 G three-port vitrectomy with a superior inverted ILM flap and 20% SF endotamponade for a full thickness macular hole (MH) by the same experienced surgeon (F. M. H.). Seven MHs were classified as large (> 400 µm) and one as medium (250 - 400 µm). The mean MLD was 638.0 ± 166.4 µm (range: 353 - 851 µm). MH closure was achieved in all (8/8, 100%) patients with a single surgery. The median best-corrected visual acuity (BCVA) improved from 6/120 (Snellen) (range: finger counting [FC] to 6/19) preoperatively to 6/19 (range: FC to 6/9.5) after surgery, without any intra- or postoperative complications. The superior inverted ILM flap technique seems to be a safe and successful approach for the primary closure of large MHs. Further studies should investigate our proposed surgical technique on a larger population, potentially without air or gas endotamponade.
  • Editor: Germany
  • Idioma: Inglês

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