Vitrectomy with a modified temporal inverted limiting membrane flap to reconstruct the foveolar architecture for macular hole retinal detachment in highly myopic eyes

Ho, Tzyy‐Chang; Ho, Allen; Chen, Muh‐Shy

doi:10.1111/aos.13514

Cited by 34 publications

(29 citation statements)

References 28 publications

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“…We stress again that further studies are needed to make more definitive conclusions on this issue. Indeed, the advantage of I-ILM flap technic had been reported, while there are some alternative methods that have been proposed (Michalewska et al 2010(Michalewska et al , 2015Morizane et al 2014;Gekka et al 2015;Chen & Yang 2017;Ho et al 2017;Leisser et al 2017;Ozdek et al 2017;Yuan et al 2017).…”

Section: Discussionmentioning

confidence: 99%

“…After Michalewska et al's first report, there have been many studies on the inverted ILM flap technique with or without some modification (Grewal & Mahmoud 2016;Yuan et al 2017). These techniques include temporal inverted ILM flap by Michalewska et al (2015), Leisser et al (2017), Ho et al (2017), pedicle ILM flap by Gekka et al (2015), autologous and pedicle ILM flap with perfluoro-n-octane by Ozdek et al (2017), autologous ILM flap by Morizane et al (2014) and double internal limiting membrane insertion by Chen & Yang (2017).…”

Section: Introductionmentioning

confidence: 99%

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Best surgical technique and outcomes for large macular holes: retrospective multicentre study in Japan

Yamashita

Sakamoto

Terasaki

et al. 2018

Acta Ophthalmologica

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The purpose of this study was to compare the surgical outcomes of vitrectomy with conventional internal limiting membrane (C-ILM) peeling to that with the inverted ILM (I-ILM) flap technique for large macular holes (MHs). This was a retrospective chart review of consecutive cases with a large MH at nine hospitals in Japan. Among the 1342 eyes, 165 eyes of 165 cases met the inclusion criteria. The results for medium-large MHs with a diameter 400-550 μm were compared to that of eyes with an extra-large MH with a diameter >550 μm. In addition, the results of C-ILM peeling were compared to that of the I-ILM technique. In medium-large MHs, the closure rate was 95.2% (59/62) by C-ILM peeling and 100% (19/19) by the I-ILM technique. In extra-large MHs, the closure rate was 88.4% (38/43) by C-ILM peeling and 100% (41/41) by I-ILM. Although the difference between the two methods was not significant, the I-ILM technique was successful in 100% of the cases. Multiple logistic regression analysis showed the best-corrected visual acuity (BCVA) at 6 months was significantly associated with the preoperative BCVA, MH size, age and sex of the patient. Analyses of the eyes with extra-large MHs show that the surgical success is high, and the I-ILM technique is more effective for closure in eyes with extra-large MHs.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Best surgical technique and outcomes for large macular holes: retrospective multicentre study in Japan

Yamashita

Sakamoto

Terasaki

et al. 2018

Acta Ophthalmologica

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“…The ideal modality for treating MHRD remains unknown. Recently, MHRD surgical intervention by pars plana vitrectomy (PPV) with an inverted internal limiting membrane (ILM) flap [2] and its modified techniques have been developed to improve retinal attachment and macular hole (MH) closure rate [3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Sub-perfluoro-n-octane injection of ocular viscoelastic device assisted inverted internal limiting membrane flap for macular hole retinal detachment surgery: a novel technique

Lai

Chou

et al. 2020

BMC Ophthalmol

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Background: To evaluate the feasibility of a surgical technique using a sub-perfluoro-n-octane (PFO) injection of ocular viscoelastic device (OVD) to stabilize inverted internal limiting membrane (ILM) flap for the treatment of macular hole retinal detachment (MHRD). Methods: This study was a retrospective, consecutive, interventional case series. Patients who underwent MHRD surgery with sub-PFO injection of OVD to stabilize inverted ILM flap onto the macular hole (MH) were reviewed. The color fundus and optical coherence tomography (OCT) images were collected and evaluated. The bestcorrected visual acuity (BCVA) before and after surgery were compared as the functional outcome. Results: The study included 8 eyes of 8 consecutive patients (mean age: 61.8 ± 7.1 years; mean follow-up period: 9.0 ± 2.5 months). All eyes (100%) achieved successful MH closure; 7 eyes (87.5%) demonstrated complete retinal reattachment, and 1 eye (12.5%) had minimal residual subretinal fluid parafoveally. Of the 8 patients, 7 patients (87.5%) had achieved improvement in BCVA after the primary surgery, whereas 1 eye remained stable. The average BCVA before and after the surgery at the last visit improved from 20/843 (1.63 ± 0.48 logMAR) to 20/200 (1.00 ± 0.39 logMAR) (P = 0.016). Anatomically, near-normal foveal contour was noted in five (62.5%) eyes at the final follow-up. Conclusions: The use of sub-PFO injection of OVD in MHRD surgery could stabilize inverted ILM flaps, achieve good anatomical results and improve postoperative BCVA.

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“…Several methods have been proposed to increase the MH closure rate after vitrectomy with internal limiting membrane (ILM) peeling, such as inverted epiretinal ILM flap [3], inverted ILM flap insertion [4] with or without blood coverage of the hole [5], temporal, or superior single-layer inverted ILM flap [6, 7]. Making an epiretinal flap to cover the hole or creating ILM flaps around the MH to insert into the hole may be technically demanding, and ILM flaps with an appropriate size and shape cannot always be created in a staphylomatous eye with epiretinal membrane and RD.…”

Section: Introductionmentioning

confidence: 99%

Multiple Free Internal Limiting Membrane Flap Insertion in the Treatment of Macular Hole-Associated Retinal Detachment in High Myopia

2018

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Purpose: The aim of this paper was to evaluate the efficacy of multiple free internal limiting membrane (ILM) flap insertion in the management of macular hole-associated retinal detachment in high myopia. Procedures: Eyes receiving operation for macular hole-associated retinal detachment were retrospectively recruited. Those in the study group received ILM peeling and multiple free ILM flap insertion, while those in the control group received ILM peeling only. Postoperative anatomical outcomes and best-corrected visual acuity were compared between the 2 groups. Results: Twenty-seven eyes of 27 patients were recruited in this study (13 in the study group, 14 in the control group). After the operation, the retina was reattached in all cases in both groups. The macular hole closure rate was 100% in the study group but only 42.9% in the control group (adjusted p < 0.001). The eyes in the study group had better visual improvement (logMAR –0.58 ± 0.43) than those in the control group (logMAR –0.31 ± 0.50) with borderline significance (adjusted p = 0.078). Conclusions: For macular hole-associated retinal detachment in highly myopic eyes, the multiple free ILM flap insertion technique offers an effective way to close macular holes. Whether this result also means better visual outcome remains to be seen.

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Vitrectomy with a modified temporal inverted limiting membrane flap to reconstruct the foveolar architecture for macular hole retinal detachment in highly myopic eyes

Cited by 34 publications

References 28 publications

Best surgical technique and outcomes for large macular holes: retrospective multicentre study in Japan

Best surgical technique and outcomes for large macular holes: retrospective multicentre study in Japan

Sub-perfluoro-n-octane injection of ocular viscoelastic device assisted inverted internal limiting membrane flap for macular hole retinal detachment surgery: a novel technique

Multiple Free Internal Limiting Membrane Flap Insertion in the Treatment of Macular Hole-Associated Retinal Detachment in High Myopia

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