Vitrectomy With Sequential Internal Limiting Membrane Peeling and Flap Formation in Closure of a Large, Traumatic...

We report the use of sequential vitrectomy with internal limiting membrane (ILM) flaps in closure of a chronic, large, traumatic macular hole (MH) in a 32-year-old male patient.

The patient underwent vitrectomy using a sequential ILM flap technique.

This sequential ILM flap technique resulted in complete closure of the MH and improvement in visual acuity. In this case, a second ILM flap procedure allowed for successful closure of a traumatic MH.

This case suggests that the MH's closure may have been facilitated by both relief of tangential traction on the retina as well as glial tissue proliferation from presence of the ILM flap.