Vitrectomy With Sequential Internal Limiting Membrane Peeling and Flap Formation in Closure of a Large, Traumatic Macular Hole.

PubMed ID: 37009589

Author(s): Brown JA, Chang JS. Vitrectomy With Sequential Internal Limiting Membrane Peeling and Flap Formation in Closure of a Large, Traumatic Macular Hole. J Vitreoretin Dis. 2020 Aug 17;5(1):77-80. doi: 10.1177/2474126420939715. eCollection 2021 Jan-Feb. PMID 37009589

Journal: Journal Of Vitreoretinal Diseases, Volume 5, Issue 1, 2021

PURPOSE We report the use of sequential vitrectomy with internal limiting membrane (ILM) flaps in closure of a chronic, large, traumatic macular hole (MH) in a 32-year-old male patient.

METHODS The patient underwent vitrectomy using a sequential ILM flap technique.

RESULTS This sequential ILM flap technique resulted in complete closure of the MH and improvement in visual acuity. In this case, a second ILM flap procedure allowed for successful closure of a traumatic MH.

CONCLUSIONS This case suggests that the MH’s closure may have been facilitated by both relief of tangential traction on the retina as well as glial tissue proliferation from presence of the ILM flap.

© The Author(s) 2020.