biostudies-literatureUnknown70(1)Shukla D<h4>Purpose</h4>To report a simple modification of internal limiting membrane (ILM) peeling tailored to the shape of the macular hole to improve the closure rates.<h4>Methods</h4>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)Indian journal of ophthalmology182-186https://www.ebi.ac.uk/biostudies/studies/S-EPMC8917519biostudies-literatureInternal limiting membrane peeling for large macular hole: Tailoring the rhexis to the shape of the hole.PMC8917519Kalliath JShukla DfalseInternal limiting membrane peeling for large macular hole: Tailoring the rhexis to the shape of the hole.<h4>Purpose</h4>To report a simple modification of internal limiting membrane (ILM) peeling tailored to the shape of the macular hole to improve the closure rates.<h4>Methods</h4>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)2022-01-01T00:00:00Z2022 Jan2025-04-04T08:53:42.68Z2025-04-04T08:53:42.68ZS-EPMC89175193493723410.4103/ijo.IJO_906_21