Internal Limiting Membrane Flaps for Coexistent Macular Hole and Retinal Detachment in Eyes with Proliferative Diabetic Retinopathy

San-Ni Chen; Chung-May Yang

doi:10.1155/2018/3470731

Internal Limiting Membrane Flaps for Coexistent Macular Hole and Retinal Detachment in Eyes with Proliferative Diabetic Retinopathy

J Ophthalmol. 2018 Nov 6:2018:3470731. doi: 10.1155/2018/3470731. eCollection 2018.

Authors

San-Ni Chen^{1

2

3}, Chung-May Yang^{4

5}

Affiliations

¹ Department of Ophthalmology, Changhua Christian Hospital, Changhua, Taiwan.
² Department of Optometry, Da-Yeh University, Changhua, Taiwan.
³ College of Medicine, Chung-Shan Medical University, Taichung, Taiwan.
⁴ Department of Ophthalmology, National Taiwan University Hospital, Taipei, Taiwan.
⁵ College of Medicine, National Taiwan University, Taipei, Taiwan.

Abstract

Purpose: To evaluate logical surgical approaches to closing macular holes in eyes with proliferative diabetic retinopathy with retinal detachment.

Methods: Retrospective, interventional case series.

Results: 10 eyes in 10 patients were included in this study. The inverted internal limiting membrane (ILM) flap technique was used in 2 eyes, while inverted ILM insertion was used in 5 eyes, and free ILM flaps in 3 eyes. Closed macular holes and retinal reattachment were observed in all eyes. Best corrected visual acuity improved from 1.33 ± 0.39 preoperatively to 1.02 ± 0.36 postoperatively (p=0.03).

Conclusion: Various surgical approaches utilized in managing macular holes may effectively close macular holes and reattach retinas. This trial is registered with NCT 03618498.