Surgical management of inner lamellar macular hole

The purpose of this study was to determine whether pars plana vitrectomy membrane peeling and fluid-air exchange could improve optical coherence tomography and visual acuity outcomes in a patient with an inner lamellar macular hole when the patient remains in the face-down position for 3 days after surgery. Three weeks postoperatively, optical coherence tomography revealed a normal macular contour. Two months postoperatively, best-corrected visual acuity improved from 20/60 to 20/30. Surgery may be a useful option to study further in patients with symptomatic inner lamellar macular holes.