Use of Cabbage Leaf Inverted Flap Technique in the Management of a Stage IV Full-Thickness Macular Hole
Year: 2024
Type: article
Abstract: Background: The purpose of this study was to evaluate the anatomical and visual outcomes of patients with stage IV full-thickness macular holes (FTMHs) treated by the cabbage leaf inverted internal limiting membrane (ILM) flap technique. Methods: We conducted a retrospective study, enrolling patients with stage IV FTMH operated by a single surgeon. Six patients with FTMH and no other known ocular comorbidities were included in the study. Results: Four patients (66.6%) were female, two were male. The median age was 71. The average duration of symptoms before surgery was 10.5 months (6–24 months). The mean preoperative minimum hole diameter was 480 μm (337–602), and the mean basal hole size was 1208 μm (703–1748). The mean preoperative BCVA was 0.63 LogMAR. Postoperatively, the BCVA improved in 5 (83.3%) patients and remained the same in 1 (16.7%). The mean postoperative BCVA was 0.42 LogMAR (0.0–0.70). The FTMH has closed in all cases (100%). At the follow-up examination three months after the surgery, we observed complete closure of the FTMH with the restoration of retinal layers. Conclusions: This approach resulted in a complete closure of FTMH with significant visual acuity improvement. The technique could represent the surgical procedure of choice in the management of stage IV FTMH.
Source: Journal of Clinical Medicine
DOI: 10.3390/jcm13237120
Authors: Kristina J. Hartung, Fran Drnovšek, Xhevat Lumi
Institutions: University of Ljubljana, Ljubljana University Medical Centre
Language: English
Topic: Retinal and Macular Surgery
Subfield: Radiology, Nuclear Medicine and Imaging
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $2,955
OpenAlex ID: W4404692025