1. Inverted Internal Limiting Membrane Flap Technique for Large Macular Holes

    Inverted Internal Limiting Membrane Flap Technique for Large Macular Holes
    Purpose: Large macular holes usually have an increased risk of surgical failure. Up to 44% of large macular holes remain open after 1 surgery. Another 19% to 39% of macular holes are flat-open after surgery. Flat-open macular holes are associated with limited visual acuity. This article presents a modification of the standard macular hole surgery to improve functional and anatomic outcomes in patients with large macular holes.Design: A prospective, randomized clinical trial.Participants: Patients with macular holes larger than 400 μm were included. In group 1, 51 eyes of 40 patients underwent standard 3-port pars plana vitrectomy with air ...
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