Internal limiting membrane peeling without vitrectomy for laser-induced macular holes in two children

Eur J Ophthalmol. 2022 May;32(3):NP41-NP45. doi: 10.1177/1120672121990633. Epub 2021 Jan 28.

Abstract

Purpose: To describe a technique of internal limiting membrane (ILM) peeling without vitrectomy for the treatment of laser-induced macular holes in two children.

Methods: ILM peeling was performed under the vitreous hyaloid, and the vitreous was retained. Slit lamp and optical coherence tomographic examinations were performed before and after surgery.

Results: Macular holes were closed with different patterns at different time in the two patients, while visual acuity improved significantly in both of them eventually.

Conclusion: The technique of ILM peeling in the absence of vitrectomy can promote the closure of laser-induced macular holes and minimize the surgical procedure, with few vitrectomy complications in pediatric patients. The closure pattern may vary on account of different injury sources and extents.

Keywords: Internal limiting membrane peeling; child; laser-induced macular hole; vitrectomy.

MeSH terms

  • Basement Membrane / surgery
  • Child
  • Epiretinal Membrane* / complications
  • Epiretinal Membrane* / surgery
  • Humans
  • Lasers
  • Retinal Perforations* / diagnosis
  • Retinal Perforations* / etiology
  • Retinal Perforations* / surgery
  • Retrospective Studies
  • Tomography, Optical Coherence
  • Treatment Outcome
  • Vitrectomy / methods