Open AccessInverted Internal Limiting Membrane Flap Technique: Is It the Best Option for Macular Holes?
Author(s) -
Nisa Silva,
André Ferreira,
Zofia Michalewska,
Angelina Meireles
Publication year - 2021
Publication title -
clinical ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.025
H-Index - 56
eISSN - 1177-5483
pISSN - 1177-5467
DOI - 10.2147/opth.s284614
Subject(s) - internal limiting membrane , macular hole , medicine , vitrectomy , limiting , ophthalmology , surgery , optometry , visual acuity , mechanical engineering , engineering
Surgical treatment is generally necessary to repair full-thickness macular holes (FTMH). Although vitrectomy with or without internal limiting membrane (ILM) peeling remains the standard surgical technique, the inverted ILM flap procedure has increasingly assumed a role in the primary surgical repair of FTMHs. Some vitreoretinal surgeons reserve this technique to treat large or myopic holes, whereas others use it routinely in all cases. This paper is a comprehensive review of the current scientific evidence on the anatomical and functional outcomes of the inverted ILM flap technique in the repair of macular holes, following the International Vitreomacular Traction Study (IVTS) group classification.