Internal limiting membrane peeling for large macular hole: Tailoring the rhexis to the shape of the hole.

ABSTRACT:

Purpose

To report a simple modification of internal limiting membrane (ILM) peeling tailored to the shape of the macular hole to improve the closure rates.

Methods

This is a single-center interventional case series. conducted between 2016 and 2020. The minimum follow-up was 4 months. All surgeries were performed by one surgeon. Twenty consecutive patients (21 eyes) with large idiopathic macular holes (horizontal diameter: ≥600 μm) were enrolled; vertical hole diameters were also measured using spectral-domain optical coherence tomography (OCT). Following vitrectomy, ILM peeling was performed over a horizontally oval area (additional 1 disc-diameter temporally); perfluoropropane gas (C3F8, 15%) tamponade was used. Hole closure and change in best-corrected visual acuity (BCVA)

SUBMITTER: Shukla D 

PROVIDER: S-EPMC8917519 | biostudies-literature | 2022 Jan

REPOSITORIES: biostudies-literature