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Published: 2021-02-26
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DOI: https://doi.org/10.52852/tcncyh.v137i1.45
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Vol. 137 No. 1 (2021)
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Hiệp, N. K. ., & Sơn, C. H. . (2021). Surgical outcomes of inverted internal limiting membrane flap in retinal detachment associated with macular hole. Journal of Medical Research, 137(1), 229-235. https://doi.org/10.52852/tcncyh.v137i1.45

Surgical outcomes of inverted internal limiting membrane flap in retinal detachment associated with macular hole

Nguyen Kiem Hiep, Cung Hong Son

Main Article Content

Abstract

This study was conducted to assess the anatomical and functional outcome of using inverted internal limiting membrane (ILM) flap technique with vitrectomy to treat retinal detachment caused by macular hole (MHDR) in highly myopic eyes. In this prospective observational study, data from 26 patients with MHDR that underwent vitrectomy with the inverted ILM flap technique combined with C3F8 tamponade or silicon oil were analyzed. Results showed that of the 26 patients, 16 were female and 10 were male. The mean age was 61.37 ± 8.59. The mean axial length was 28.00 ± 2.48 mm. The majority of the patients (74.04%) had posterior staphyloma. The success rate of the initial surgery was 88.46%. At 6 - month follow up, all patients had retinal detachment. The macular hole closure rate was 62.96%. The BCVA at 6 months postoperation was 1.33 ± 0,24 logMAR. The inverted ILM flap technique with the presence of bridging tissue over the macular hole is effective in closing the macular hole and can improve the postoperative best - corrected visual acuity in eyes with MH retinal detachment by bridging tissue over the MH.

Article Details

Keywords

retinal detachment, inverted flap, macular hole

References

1. Morita H, Ideta H, Ito K, Yonemoto J, Sasaki K, Tanaka S. causative factors of retianal detachment in macular holes: Retina. 1991;11 (3):281 - 284. doi:10,1097/00006982 - 199111030 - 00002
2. Gao X, Guo J, Meng X, Wang J, Peng X, Ikuno Y. A meta - analysis of vitrectomy with or without internal limiting membrane peeling for macular hole retinal detachment in the highly myopic eyes. BMC Ophthalmol. 2016;16 (1):87. doi:10,1186/s12886 - 016 - 0266 - 5
3. Uemoto R, Yamamoto S, Tsukahara I, Takeuchi S. efficacy of internal limiting membrane removal for retianl detachments resulting from amyopic macular hole: Retina. 2004;24 (4):560 - 566. doi:10,1097/00006982 - 200408000 - 00009
4. Chen Y - P, Chen T - L, Yang K - R, et al. Treatment of retinal detachment resulting from posterior staphyloma - associated macular hole in highly myopic eyes: Retina. 2006;26 (1):25 - 31. doi:10,1097/00006982 - 200601000 - 00005
5. Sasaki H, Shiono A, Kogo J, et al. Inverted internal limiting membrane flap technique as a useful procedure for macular hole - associated retinal detachment in highly myopic eyes. Eye Lond Engl. 2017;31 (4):545 - 550, doi:10,1038/eye.2016.263
6. Wakabayashi T, Ikuno Y, Shiraki N, Matsumura N, Sakaguchi H, Nishida K. Inverted internal limiting membrane insertion versus standard internal limiting membrane peeling for macular hole retinal detachment in high myopia: one - year study. Graefes Arch Clin Exp Ophthalmol. 2018;256 (8):1387 - 1393. doi:10,1007/s00417 - 018 - 4046 - 1
7. Avitabile T, Bonfiglio V, Buccoliero D, et al. Heavy versus standard silicon oil in the management of retinal detachment with macular hole in myopic eyes: Retina. 2011;31 (3):540 - 546. doi:10,1097/IAE.0b013e3181ec80c7
8. Michalewska Z, Michalewski J, Adelman RA, Nawrocki J. Inverted Internal Limiting Membrane Flap Technique for Large Macular Holes. Ophthalmo logy. 2010;117 (10):2018 - 2025. doi:10,1016/j.ophtha.2010,02.011
9. Ikuno Y, Sayanagi K, Oshima T, et al. Optical coherence tomographic findings of macular holes and retinal detachment after vitrectomy in highly myopic eyes. Am J Ophthalmol. 2003;136 (3):477 - 481. doi:10,1016/S0002 - 9394 (03)00269 - 1
10, Ichibe M, Yoshizawa T, Murakami K, et al. Surgical management of retinal detachment associated with myopic macular hole: anatomic and functional status of the macula. Am J Ophthalmol. 2003;136 (2):277 - 284. doi:10,1016/S0002 - 9394 (03)00186 - 7
11. Matsumae H, Morizane Y, Yamane S, et al. Inverted Internal Limiting Membrane Flap versus Internal Limiting Membrane Peeling for Macular Hole Retinal Detachment in High Myopia. Ophthalmol Retina. Published online April 2020:S2468653020301238. doi:10,1016/j.oret.2020,03.021
12. Lai C - C, Chen Y - P, Wang N - K, et al. Vitrectomy with Internal Limiting Membrane Repositioning and Auto logous Blood for Macular Hole Retinal Detachment in Highly Myopic Eyes. Ophthalmo logy. 2015;122 (9):1889 - 1898. doi:10,1016/j.ophtha.2015.05.040
13. Hayashi H, Kuriyama S. Foveal microstructure in macular holes surgically closed by inverted internal limiting membrane flap technique: Retina. 2014;34 (12):2444 - 2450, doi:10,1097/IAE.0000000000000252