Mohamed Zidi, Salma Benbachir, Sarah Idmane, Fatine El Alami, Soukaina Amrani Joutei and Soukaina Homaide

Department of Ophthalmology, Nour Ophthalmology Clinic of Casablanca, Morocco

*Corresponding Author: Mohamed Zidi, Department of Ophthalmology, Nour Ophthalmology Clinic of Casablanca, Morocco.

Received: November 28, 2023; Published: March 12, 2024

Abstract

Purpose: To evaluate the efficacy of inverted internal limiting membrane (ILM) technique for large macular holes (MHs) (> 400 μm) and to compare the anatomical and functional outcomes with the standard technique.

Material and Methods: Comparative prospective study on 70 cases separated into two groups, group 1 of 39 patients were operated with ILM peeling and in group 2, 31 eyes underwent a modification of the standard technique, called the inverted internal limiting membrane (ILM) flap technique.

Results: The mean age of patients was 60.4 years. Mean postoperative BCVA, patients in both groups showed a statistically significant improvement in visual acuity (p:0.37). The closure rate of macular hole was 98%. The diameter of macular holes varied between 400 - 1100 μm. DONFL were observed in 10 patients in group 1 versus 7 patients in group 2.

Conclusion: We observed that visual acuity improvement rate after reverse ILM technique was higher but the anatomical outcome for large MH was achieved using both techniques.

Keywords: Macular Hole Surgery; Inverted ILM Flap; ILM Flap

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Citation

Citation: Mohamed Zidi. “Inverted ILM Flap Technique: Efficacy in Large Macular Hole Surgery (A Prospective Comparative Study of 70 Cases)".Acta Scientific Ophthalmology 7.4 (2024): 19-23.

Copyright

Copyright: © 2024 Mohamed Zidi. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.