الفهرس 
Title : Pars Plana Vitrectomy with Inverted Internal Limiting Membrane Flap Technique for Myopic Macular Hole Retinal Detachment
ContentsOnly 14 pages are availabe for public view
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Abstract
The low rates of macular hole closure after PPV for MHRD in highly myopic eyes has long been a clinical problem. ILM peeling allows total removal of the cortical vitreous and its components, contributing to complete relaxation of the retina. However, the retinal tension cannot be eliminated completely by ILM peeling, as some of the components, that is, vascular traction and posterior staphyloma, cannot be eliminated.⁴² In 2013, Kuriyama et al11 introduced the inverted ILM flap technique for macular holes in highly myopic eyes with or without retinal detachment. They reported a high closure rate and significant improvement of postoperative BCVA. In 2014, Michalewska et al12 used the technique in 19 eyes with myopic macular holes, and they reported similar results to Kuriyama et al. They hypothesized that the inverted ILM flap technique induces glial cell proliferation, allowing the photoreceptors to assume new positions in direct proximity to the fovea, which improves postoperative visual acuity. The aim of this study was to evaluate the functional and anatomic outcomes of the inverted ILM flap technique in patients with myopic macular hole retinal detachment. We found a significantly higher MH closure rate after using the inverted ILM flap technique. However, we found that the inverted ILM flap technique did not improve postoperative visual acuity significantly compared with conventional ILM peeling. The foveal photoreceptor layer may be destroyed and not recoverable although the retina is reattached after surgical closure by the inverted ILM flap technique