| International FP- 007 |
| COMPARISON OF TEMPORAL INVERTED INTERNAL LIMITING MEMBRANE FLAP TECHNIQUE WITH CLASSIC INVERTED INTERNAL LIMITING MEMBRANE FLAP TECHNIQUE IN LARGE MACULAR HOLES |
| VITREO-RETINA SERVICES, SRI SANKARADEVA NETHRALAYA, INDIA (1) |
| RONEL SOIBAM(1), DIVA KANT MISRA(1),AWANESSH UPADHYAY(1), MANABJYOTI BARMAN(1), HARSHA BHATTACHARJEE(1) |
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Purpose : To evaluate the efficacy of standard inverted flap technique in comparison to temporal inverted internal limiting membrane flap technique for the treatment of large idiopathic macular hole(>700µ).
Methods : In this prospective, comparative and interventional study, patients with idiopathic macular holes larger than 700 microns were included. In group 1, 15 eyes of 15 patients underwent standard inverted flap technique. In group 2, 15 eyes of 15 patients underwent a modification of the standard technique, called the temporal inverted internal limiting membrane (ILM) flap technique. We compared changes in best-corrected visual acuity (BCVA) before and after surgery and closure rates of MH between both groups.
Results : Preoperative mean visual acuity was 1.059±0.22logMAR in group 1 and 1.055±0.29logMAR in group 2. Macular hole closure was observed in 94% of patients in group 1 and in 87% of patients in group 2. The morphology of hole hole closure was documented in detail in both the groups.
Conclusion : The temporal inverted ILM flap technique was found to be as effective as the classic inverted ILM flap technique in the management of large(>700 microns) macular holes.
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