Work

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

Year: 2024

Type: article

Abstract: Purpose: 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.

Source: International Medical Case Reports Journal

DOI: 10.2147/imcrj.s495427

Author: Abdulaziz Al Taisan

Institution: King Faisal University

Language: English

Topic: Retinal and Macular Surgery

Subfield: Radiology, Nuclear Medicine and Imaging

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,320