Macular hole repair using a refined viscoelastic assisted membrane positioning technique markedly improves surgical success rates.

ABSTRACT:

Introduction

To evaluate the surgical outcomes of pars plana vitrectomy (PPV) using dispersive viscoelastic-assisted inverted internal limiting membrane (VILM) flap technique in patients with full-thickness macular holes (MH).

Methods

We retrospectively review 247 eyes that underwent PPV with the VILM flap technique and had a minimum follow-up of six months. Following core vitrectomy, the internal limiting membrane (ILM), stained with indocyanine green, was placed on the MH. A dispersive viscosurgical device was applied over the ILM flat to secure its placement before fluid-gas exchange. Sulfur hexafluoride gas was used for tamponade, and patients maintained face-down positioning postoperatively. The primary outcomes assessed were anatomical closure of MH at 90 days confirme

SUBMITTER: Cheng AMS 

PROVIDER: S-EPMC11909052 | biostudies-literature | 2025 Mar

REPOSITORIES: biostudies-literature