PMC5063557_01
Pre and postoperative OCT image.. Notes: (A) OCT image shows a flat edge, full-thickness MH. (B) OCT image shows 2 months postoperative follow-up with a successful closure of the MH (blue arrow) and dimpling in the inner retinal surface (yellow arrow). (C) OCT image shows 3 months postoperative follow-up with the closed MH (yellow arrow).. Abbreviations: OCT, optical coherence tomography; MH, macular hole.
imcrj-9-313Fig1.jpg
PMC5063557_01_imcrj-9-313Fig1.jpg
f1-imcrj-9-313
OCT showed a full-thickness MH with flat edge in the left eye (Figure 1A) and a maintained foveal contour in the right eye. OCT showed closed MH with a maintained foveal contour and dimpling in the temporal macula (Figure 1B). Repeat OCT showed a maintained foveal contour (Figures 1C and 3).
Surgical steps of inverted ILM flap.. Notes: Barrage endolaser around the inferior lattice degeneration (left top), BBG injected over the macular area (left middle), ILM peeling initiated from the temporal area (left bottom), an arrow showing trimmed ILM around the MH (right top), inverted ILM over the MH (right middle), and fundus appearance after fluid gas exchange (right bottom; note the blue-colored ILM over the MH).. Abbreviations: BBG, brilliant blue G; ILM, internal limiting membrane; MH, macular hole.
imcrj-9-313Fig2.jpg
PMC5063557_01_imcrj-9-313Fig2.jpg
f2-imcrj-9-313
ILM peeling (inverted flap technique), fluid gas exchange, and endolaser in the left eye. Intraoperatively, after induction of posterior vitreous detachment, vitrectomy was completed and endolaser was barraged around the inferior lattice degeneration (Figure 2, left top). ILM (Figure 2, left middle). ILM peeling was initiated from the temporal side all around the MH, at approximately two-disk diameter area, and hinged at the edges of the hole (Figure 2, left bottom). ILM was then trimmed, and adequate residual ILM was inverted over the hole (Figure 2, right top/middle). Following this, fluid air exchange was performed and ILM was pushed into the MH (Figure 2, right bottom).
Multiple line scan showing a closed MH 3 months after surgery.. Abbreviation: MH, macular hole.
imcrj-9-313Fig3.jpg
PMC5063557_01_imcrj-9-313Fig3.jpg
f3-imcrj-9-313
Repeat OCT showed a maintained foveal contour (Figures 1C and 3).