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Case Report
Macular hole reopening after inverted internal limiting membrane flap
1 Department of Ophthalmology of USC Roski Eye Institute, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
Address correspondence to:
Hossein Ameri
USC Roski Eye Institute, 1450 San Pablo St, Los Angeles, CA 90033,
USA
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Article ID: 100034Z17ES2022
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How to cite this article
Su EH, Kesavamoorthy N, Ameri H. Macular hole reopening after inverted internal limiting membrane flap. J Case Rep Images Opthalmol 2022;5(2):24–28.ABSTRACT
Introduction: Here, we present a case of macular hole (MH) reopening after an initial successful closure with an inverted internal limiting membrane (ILM) flap procedure.
Case Report: The patient was a 72-year-old Hispanic male who presented with decreased vision in the right eye who was found to have a 431 μm, full-thickness macular hole. The patient underwent three separate 25-gauge pars plana vitrectomies to correct the macular hole. The first involved an inverted ILM flap technique, the second one removal of the flap and the third one subretinal injection of balanced salt solution (BSS).
Conclusion: The failure of the inverted ILM flap, we believe, was primarily due to the inferiorly attached flap being pulled down by surface tension of the rising fluid level.
Keywords: Internal limiting membrane (ILM), Inverted ILM flap, Macular hole, Macular hole reopening, Vitrectomy
SUPPORTING INFORMATION
Author Contributions
Erin H Su - Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Final approval of the version to be published
Niranjana Kesavamoorthy - Interpretation of data, Drafting the article, Final approval of the version to be published
Hossein Ameri - Substantial contributions to conception and design, Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2022 Erin H Su et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
