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REVIEW

Inverted internal limiting membrane (ILM) flap technique for macular hole closure: patient selection and special considerations

, , , &
Pages 671-678 | Published online: 18 Apr 2019

Figures & data

Figure 1 Shows the intraoperative image of the technique. The ILM flap is stained with brilliant blue dye and then being raised and inverted into the MH using ILM peeling forceps.

Abbreviation: ILM, internal limiting membrane; MH, macular hole.

Figure 1 Shows the intraoperative image of the technique. The ILM flap is stained with brilliant blue dye and then being raised and inverted into the MH using ILM peeling forceps.Abbreviation: ILM, internal limiting membrane; MH, macular hole.

Figure 2 Intraoperative SD OCT image of inverted ILM flap being manipulated into the MH. The ILM flap segments are seen clearly on the OCT scan.

Abbreviations: ILM, internal limiting membrane; MH, macular hole; OCT, optical coherence tomography.

Figure 2 Intraoperative SD OCT image of inverted ILM flap being manipulated into the MH. The ILM flap segments are seen clearly on the OCT scan.Abbreviations: ILM, internal limiting membrane; MH, macular hole; OCT, optical coherence tomography.

Figure 3 (A) Pre-operative SD OCT of a large MH with a horizontal linear width of 544 μm and base diameter of 1,200 μm. (B) Post-operative SD OCT of the same patient shows a U-type successful closure after vitrectomy with the inverted ILM flap technique.

Abbreviations: SD OCT, sSpectral domain optical coherence tomography; MH, mMacular hole.

Figure 3 (A) Pre-operative SD OCT of a large MH with a horizontal linear width of 544 μm and base diameter of 1,200 μm. (B) Post-operative SD OCT of the same patient shows a U-type successful closure after vitrectomy with the inverted ILM flap technique.Abbreviations: SD OCT, sSpectral domain optical coherence tomography; MH, mMacular hole.