The temporal inverted internal limiting membrane flap technique versus multilayered inverted flap technique in patients with idiopathic macular hole
Objectives This study aimed to compare the temporal inverted internal limiting membrane (ILM) flap technique with the multilayered inverted ILM flap technique for treating idiopathic macular holes (IMHs) by assessing anatomical outcomes using optical coherence tomography (OCT) and functional outcome...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-01-01
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| Series: | Journal of the Egyptian Ophthalmological Society |
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| Online Access: | https://journals.lww.com/10.4103/ejos.ejos_46_24 |
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| author | Sameh M. Elgouhary Safaa M. Abd-elmoaty Ahmed A. Salama |
| author_facet | Sameh M. Elgouhary Safaa M. Abd-elmoaty Ahmed A. Salama |
| author_sort | Sameh M. Elgouhary |
| collection | DOAJ |
| description | Objectives
This study aimed to compare the temporal inverted internal limiting membrane (ILM) flap technique with the multilayered inverted ILM flap technique for treating idiopathic macular holes (IMHs) by assessing anatomical outcomes using optical coherence tomography (OCT) and functional outcomes through best corrected visual acuity (BCVA) and optical coherence tomography angiography (OCTA).
Background
ILM flaps act as a scaffold that promotes macular hole closure by facilitating cell proliferation and migration.
Patients and methods
Patients with IMHs were divided into two groups. Group A underwent the temporal inverted ILM flap technique, while group B received the multilayered inverted ILM flap technique. Preoperative assessment of BCVA, OCT and OCTA. Follow-up at 1, 3, and 6 months by OCT and assessment of BCVA, and OCTA at 3 months.
Results
The study included 20 eyes with IMH: group A (mean age 60.9±4.51 years) and group B (mean age 62.7±3.74 years). Postoperative OCT revealed no significant differences in closure patterns between the groups. Group A had 60% type U, 10% type V, and 20% type W closure patterns, with 10% of cases failing to close. Group B had 70% type U, 20% type V, and 10% type W closure patterns. BCVA improved from 0.06±0.02 to 0.24±0.14 in group A and from 0.05±0.02 to 0.30±0.11 in group B.
Conclusion
While no significant anatomical differences were observed between the two techniques, the multilayered inverted ILM flap technique demonstrated superior functional outcomes compared with the temporal flap technique. |
| format | Article |
| id | doaj-art-3eeb773805414ca8abf9cddcac6fbc1b |
| institution | Kabale University |
| issn | 2090-0686 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of the Egyptian Ophthalmological Society |
| spelling | doaj-art-3eeb773805414ca8abf9cddcac6fbc1b2025-02-08T05:27:06ZengWolters Kluwer Medknow PublicationsJournal of the Egyptian Ophthalmological Society2090-06862025-01-011181697610.4103/ejos.ejos_46_24The temporal inverted internal limiting membrane flap technique versus multilayered inverted flap technique in patients with idiopathic macular holeSameh M. ElgouharySafaa M. Abd-elmoatyAhmed A. SalamaObjectives This study aimed to compare the temporal inverted internal limiting membrane (ILM) flap technique with the multilayered inverted ILM flap technique for treating idiopathic macular holes (IMHs) by assessing anatomical outcomes using optical coherence tomography (OCT) and functional outcomes through best corrected visual acuity (BCVA) and optical coherence tomography angiography (OCTA). Background ILM flaps act as a scaffold that promotes macular hole closure by facilitating cell proliferation and migration. Patients and methods Patients with IMHs were divided into two groups. Group A underwent the temporal inverted ILM flap technique, while group B received the multilayered inverted ILM flap technique. Preoperative assessment of BCVA, OCT and OCTA. Follow-up at 1, 3, and 6 months by OCT and assessment of BCVA, and OCTA at 3 months. Results The study included 20 eyes with IMH: group A (mean age 60.9±4.51 years) and group B (mean age 62.7±3.74 years). Postoperative OCT revealed no significant differences in closure patterns between the groups. Group A had 60% type U, 10% type V, and 20% type W closure patterns, with 10% of cases failing to close. Group B had 70% type U, 20% type V, and 10% type W closure patterns. BCVA improved from 0.06±0.02 to 0.24±0.14 in group A and from 0.05±0.02 to 0.30±0.11 in group B. Conclusion While no significant anatomical differences were observed between the two techniques, the multilayered inverted ILM flap technique demonstrated superior functional outcomes compared with the temporal flap technique.https://journals.lww.com/10.4103/ejos.ejos_46_24internal limiting membrane peelinginverted flapsmacular holeoptical coherence tomography |
| spellingShingle | Sameh M. Elgouhary Safaa M. Abd-elmoaty Ahmed A. Salama The temporal inverted internal limiting membrane flap technique versus multilayered inverted flap technique in patients with idiopathic macular hole Journal of the Egyptian Ophthalmological Society internal limiting membrane peeling inverted flaps macular hole optical coherence tomography |
| title | The temporal inverted internal limiting membrane flap technique versus multilayered inverted flap technique in patients with idiopathic macular hole |
| title_full | The temporal inverted internal limiting membrane flap technique versus multilayered inverted flap technique in patients with idiopathic macular hole |
| title_fullStr | The temporal inverted internal limiting membrane flap technique versus multilayered inverted flap technique in patients with idiopathic macular hole |
| title_full_unstemmed | The temporal inverted internal limiting membrane flap technique versus multilayered inverted flap technique in patients with idiopathic macular hole |
| title_short | The temporal inverted internal limiting membrane flap technique versus multilayered inverted flap technique in patients with idiopathic macular hole |
| title_sort | temporal inverted internal limiting membrane flap technique versus multilayered inverted flap technique in patients with idiopathic macular hole |
| topic | internal limiting membrane peeling inverted flaps macular hole optical coherence tomography |
| url | https://journals.lww.com/10.4103/ejos.ejos_46_24 |
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