Clinical Ophthalmology (Apr 2019)
Inverted internal limiting membrane (ILM) flap technique for macular hole closure: patient selection and special considerations
Abstract
Daraius Shroff, Priyanka Gupta, Neelam Atri, Charu Gupta, Cyrus ShroffShroff Eye Centre, Vitreoretinal Services, New Delhi 110048, IndiaAbstract: This paper reviews the current status of the newer inverted internal limiting membrane flap technique for macular hole surgery. It gives an overview of the importance of patient selection and special considerations along with variations in technique. It discusses the pathophysiology and how the technique has been an important addition in the armamentarium of vitreoretinal surgeons to attain better anatomical as well as functional results in challenging situations.Keywords: macular hole, inverted internal limiting membrane flap technique, optical coherence tomography