Development of secondary epiretinal membrane after vitrectomy with inverted ILM flap technique to treat a macular hole

The temporal hemi-inverted technique is beneficial in improving the closure of MHs, and it reduces the risk of iatrogenic damage of the PMB. It also preserves macular sensitivity. However, for small MHs, the relatively high rate of spontaneous closure combined with the potential risk of postoperative ERM formation in the long term, suggests that the temporal hemi-inverted ILM flap technique should not be used in such cases. Conventional ILM peeling may be more appropriate as a primary treatment for small MHs.

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Publication Details

Journal
American Journal of Ophthalmology Case Reports
Published
2025-08-29
DOI
https://doi.org/10.1016/j.ajoc.2025.102416
Primary Topic
Retinal and Macular Surgery
Type
article
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article

Development of secondary epiretinal membrane after vitrectomy with inverted ILM flap technique to treat a macular hole

Kumiko Kato, Mineo Kondo, Hisashi Matsubara, Yoko Mase et al.
American Journal of Ophthalmology Case Reports
Retinal and Macular Surgery
article

Development of secondary epiretinal membrane after vitrectomy with inverted ILM flap technique to treat a macular hole

Kumiko Kato, Mineo Kondo, Hisashi Matsubara, Yoko Mase, Yoshitsugu Matsui, Natsuki Ueji, Akiko Kubo, Shinichiro Chujo
article en

Abstract

The temporal hemi-inverted technique is beneficial in improving the closure of MHs, and it reduces the risk of iatrogenic damage of the PMB. It also preserves macular sensitivity. However, for small MHs, the relatively high rate of spontaneous closure combined with the potential risk of postoperative ERM formation in the long term, suggests that the temporal hemi-inverted ILM flap technique should not be used in such cases. Conventional ILM peeling may be more appropriate as a primary treatment for small MHs.

American Journal of Ophthalmology Case ReportsVol. 39
Mie University (JP), Kinan Hospital (JP)
Openalex Percentile: Top 68%
Retinal and Macular Surgery
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