Partial Detachment of an ILM Inverted Flap After a Successful Closure of a Full-Thickness Traumatic Macular Hole

Abstract

Abdulaziz A Al Taisan Department of Surgery, King Faisal University, Al-Ahsa, Saudi ArabiaCorrespondence: Abdulaziz A Al Taisan, Department of Surgery, College of Medicine, King Faisal University, Al-Ahsa, Saudi Arabia, Email [email protected]: To report a case of partial detachment of an inverted internal limiting membrane (ILM) flap following a successful closure of a full-thickness traumatic macular hole.Observations: A 24-year-old male patient presented with a history of a blunt trauma and a full-thickness macular hole. Visual acuity was (20/50) then deteriorated to (20/100) prior to surgery. He underwent pars plana vitrectomy with an inverted ILM flap and gas tamponade. Postoperatively, successful closure of the hole was noted with a visible hinged ILM flap observed over the retina in optical coherence tomography (OCT). Three months later, the patient presented with a complaint of a central floater. Visual acuity was (20/30) and a partially detached ILM flap was noted in the OCT.Conclusions and Importance: Inverted ILM flap might detach from the retinal surface after gas resolution and successful closure of a full-thickness macular hole.Keywords: ILM flap, ILM inverted flap, full thickness macular hole, macular hole

Keywords

• ilm flap
• ilm inverted flap
• full thickness macular hole
• macular hole.