Inverted Internal Limiting Membrane Flap Technique for Surgical Repair of Myopic Macular Holes

Michalewska, Zofia; Michalewski, Janusz; Dulczewska-Cichecka, Karolina; Nawrocki, Jerzy

doi:10.1097/iae.0000000000000042

Cited by 175 publications

(130 citation statements)

References 18 publications

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“…Kuriyama and Michalewska et al 21, 22 also found that the inverted ILM flap technique contributed to a high macular hole closure rate in highly myopic eyes. We therefore hypothesized that the inverted ILM flap technique would be an effective treatment for MHRD.…”

Section: Introductionmentioning

confidence: 93%

Inverted internal limiting membrane flap technique as a useful procedure for macular hole-associated retinal detachment in highly myopic eyes

Sasaki

Shiono

Kogo

et al. 2016

Eye

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PurposeTo determine whether the inverted internal limiting membrane (ILM) flap technique contributes to high reattachment and closure rates in patients with macular hole-associated retinal detachment (MHRD).Patients and methodsIn all, 15 eyes of 15 patients with MHRD undergoing 25-gauge pars plana vitrectomy with the inverted ILM flap technique or ILM peeling. The patients were divided into the inverted ILM flap technique group (6 eyes) and ILM peeling group (9 eyes). The logarithm of minimal angle of resolution best-corrected visual acuity (BCVA) and retinal attachment and macular hole closure rates were compared between the two groups before and after surgery.ResultsNo significant differences were found in the pre- and postoperative BCVA at 1 and 3 months after surgery in either group (inverted ILM flap technique group, preoperatively 1.04±0.55, 1 month 0.95±0.30, 3 months 0.83±0.22; ILM peeling group, preoperatively 1.00±0.44, 1 month 1.05±0.38, 3 months 1.06±0.49; P>0.05, respectively). The postoperative BCVA at 6 months after surgery was significantly better in the inverted ILM flap technique group than in the ILM peeling group (inverted ILM flap technique group, 0.62±0.35; ILM peeling group, 1.02±0.41, P=0.045). The improvement in BCVA was significantly better in the inverted ILM flap technique group than in the ILM peeling group (inverted ILM flap technique group, –0.41±0.29; ILM peeling group, 0.02±0.36; P=0.021). The primary macular hole closure rates were 100% in the inverted ILM flap technique group and 55.5% in the ILM peeling group. The primary reattachment rates were 100% in the inverted ILM flap technique group and 55.5% in the ILM peeling group. The primary macular hole closure and reattachment rates were not significantly different in both groups (P=0.056, respectively).ConclusionThe inverted ILM flap technique is a useful procedure for MHRD in highly myopic eyes.

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Section: Introductionmentioning

confidence: 93%

Inverted internal limiting membrane flap technique as a useful procedure for macular hole-associated retinal detachment in highly myopic eyes

Sasaki

Shiono

Kogo

et al. 2016

Eye

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“…10 Thus, the posturing position and the duration of the postoperative prone position were different among institutions. Certainly, eliminating the need for a prone position or long-acting gas tamponade would be better for patients.…”

Section: Discussionmentioning

confidence: 99%

“…More recently, there were reports showing the efficacy of this technique for surgical repair of macular holes in high myopia. 9,10 However, detailed anatomical changes in the process of hole closure in eyes with retinal detachment have not yet been reported. In this study, we report on three cases of MHRD in high myopia in which macular holes were successfully closed over residual subretinal fluid with the inverted ILM bridging the holes.…”

mentioning

confidence: 98%

Macular Hole Closure Over Residual Subretinal Fluid by an Inverted Internal Limiting Membrane Flap Technique in Patients With Macular Hole Retinal Detachment in High Myopia

Okuda

Higashide

Kobayashi

et al. 2016

RETINAL Cases &Amp; Brief Reports

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“…They documented 100% closure of MH at the first week proved by OCT with improved mean snellen visual acuity from 0.09 to 0.41. 19 …”

Section: Discussionmentioning

confidence: 99%

“…SD-OCT images confirmed that the process of foveal architectural repair after this surgery continues over at least a 12-month period. 19 …”

Section: Introductionmentioning

confidence: 99%

Inverted Internal Limiting Membrane Flap For Large Traumatic Macular Holes

Shousha

2016

Medicine

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Inverted Internal Limiting Membrane Flap Technique for Surgical Repair of Myopic Macular Holes

Cited by 175 publications

References 18 publications

Inverted internal limiting membrane flap technique as a useful procedure for macular hole-associated retinal detachment in highly myopic eyes

Inverted internal limiting membrane flap technique as a useful procedure for macular hole-associated retinal detachment in highly myopic eyes

Macular Hole Closure Over Residual Subretinal Fluid by an Inverted Internal Limiting Membrane Flap Technique in Patients With Macular Hole Retinal Detachment in High Myopia

Inverted Internal Limiting Membrane Flap For Large Traumatic Macular Holes

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