Macular hole treated by the inverted internal limiting membrane
flap technique: case report

J 2016

Macular hole treated by the inverted internal limiting membrane flap technique: case report

SKORKOVSKÁ, Karolína and Susanne BINDER

Basic information

Original name

Macular hole treated by the inverted internal limiting membrane flap technique: case report

Authors

SKORKOVSKÁ, Karolína (203 Czech Republic, guarantor, belonging to the institution) and Susanne BINDER (40 Austria)

Edition

SPEKTRUM DER AUGENHEILKUNDE, NEW YORK, SPRINGER, 2016, 0930-4282

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30200 3.2 Clinical medicine

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

Impact factor

Impact factor: 0.177 in 2012

RIV identification code

RIV/00216224:14110/16:00094051

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1007/s00717-016-0298-5

UT WoS

000379263600007

Keywords in English

Macular holes; Vitrectomy; Optical coherence tomography; Peeling; Tamponade

Abstract

V originále

Pars plana vitrectomy with peeling of the internal limiting membrane is a standard surgical procedure for an idiopathic macular hole. However, it may not always be associated with a favorable functional and anatomical outcome. Further, with gas tamponade face-down posturing 90 % of the time for at least a week is recommended, which causes the patient discomfort and increases the risk of cataracts. A case of unilateral macular hole in a 74-year-old female patient with initial visual acuity of 0.3 treated by pars plana vitrectomy using an inverted membrane technique is presented. In this method, the internal limiting membrane is peeled off, but a remnant of the membrane attached to the margins of the macular hole is left in place. This membrane flap is then inverted upside-down to cover the macular hole. The facedown position was maintained only overnight. Six days after surgery optical coherence tomography showed a closed macular hole with restoration of the foveal depression and an intact external limiting membrane. Visual acuity improved to 0.5. To increase the percentage of final macular hole-closure it is important to search for new treatment options. An inverted flap technique may support the healing process at the macula and at the same time reduce the need for gas tamponade and postoperative positioning of the patient.

Citovat

SKORKOVSKÁ, Karolína and Susanne BINDER. Macular hole treated by the inverted internal limiting membrane flap technique: case report. SPEKTRUM DER AUGENHEILKUNDE. NEW YORK: SPRINGER, 2016, vol. 30, No 3, p. 138-141. ISSN 0930-4282. Available from: https://dx.doi.org/10.1007/s00717-016-0298-5.

@article{1376989,
   author = {Skorkovská, Karolína and Binder, Susanne},
   article_location = {NEW YORK},
   article_number = {3},
   doi = {http://dx.doi.org/10.1007/s00717-016-0298-5},
   keywords = {Macular holes; Vitrectomy; Optical coherence tomography; Peeling; Tamponade},
   language = {eng},
   issn = {0930-4282},
   journal = {SPEKTRUM DER AUGENHEILKUNDE},
   title = {Macular hole treated by the inverted internal limiting membrane flap technique: case report},
   volume = {30},
   year = {2016}
}

TY  - JOUR
ID  - 1376989
AU  - Skorkovská, Karolína - Binder, Susanne
PY  - 2016
TI  - Macular hole treated by the inverted internal limiting membrane flap technique: case report
JF  - SPEKTRUM DER AUGENHEILKUNDE
VL  - 30
IS  - 3
SP  - 138-141
EP  - 138-141
PB  - SPRINGER
SN  - 09304282
KW  - Macular holes
KW  - Vitrectomy
KW  - Optical coherence tomography
KW  - Peeling
KW  - Tamponade
N2  - Pars plana vitrectomy with peeling of the internal limiting membrane is a standard surgical procedure for an idiopathic macular hole. However, it may not always be associated with a favorable functional and anatomical outcome. Further, with gas tamponade face-down posturing 90 % of the time for at least a week is recommended, which causes the patient discomfort and increases the risk of cataracts. A case of unilateral macular hole in a 74-year-old female patient with initial visual acuity of 0.3 treated by pars plana vitrectomy using an inverted membrane technique is presented. In this method, the internal limiting membrane is peeled off, but a remnant of the membrane attached to the margins of the macular hole is left in place. This membrane flap is then inverted upside-down to cover the macular hole. The facedown position was maintained only overnight. Six days after surgery optical coherence tomography showed a closed macular hole with restoration of the foveal depression and an intact external limiting membrane. Visual acuity improved to 0.5. To increase the percentage of final macular hole-closure it is important to search for new treatment options. An inverted flap technique may support the healing process at the macula and at the same time reduce the need for gas tamponade and postoperative positioning of the patient.
ER  -

SKORKOVSKÁ, Karolína and Susanne BINDER. Macular hole treated by the inverted internal limiting membrane flap technique: case report. \textit{SPEKTRUM DER AUGENHEILKUNDE}. NEW YORK: SPRINGER, 2016, vol.~30, No~3, p.~138-141. ISSN~0930-4282. Available from: https://dx.doi.org/10.1007/s00717-016-0298-5.

Detailed Information on Publication Record