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Correspondence to: Fatin Nadia Zamawi, Pusat Perubatan University E-mail: f_nadia1312@yahoo.co.uk Received : 12th June 2019 Accepted: 7th August 2019 Published: 10th November 2019 Purpose: To review the surgical outcomes of macular hole surgery with internal limiting membrane (ILM) folding method in Hospital Sultanah Bahiyah (HSB), Alor Setar. Method: A retrospective study reviewing the functional and anatomical outcomes of macular hole surgery with ILM folding method for all related cases in HSB during the period between January 2013 to December 2018. Results: Thirty-seven patients with purely full-thickness macular hole who underwent ILM folding method surgery were included in the study, with 21 females and 16 males. Ages ranged between 51-74 years. We observed the outcomes of macular hole surgery using folding method based on visual improvement and macular hole closure at 6-weeks and 6-months post-surgery. All surgeries were performed by a single vitreo-retinal surgeon in HSB. Following macular hole surgery using folding method, 31 cases (83.8%) and thirty-three cases (89.2%) showed visual improvement by two or more lines at 6-weeks and 6-months post-surgery, respectively. Hole closure was achieved in all cases (100%) of macular hole surgery using the folding method at 6 weeks and 6 months post-surgery. Conclusion: In conclusion, surgical outcomes of macular hole surgery using ILM folding method in Alor Setar showed 100% anatomical success and majority of cases showed improvement in visual acuity by 2-or-more line at 6-months post-surgery. Besides surgical techniques, macular hole surgical success is also attributed by size of macular hole.

Alor setar experience: surgical outcomes of macular hole surgery with folding method