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Flap-Related Complications Following Temporal Inverted Internal Limiting Membrane Flap for Macular Hole Repair

Gökçen Deniz Gülpınar İkiz1, Ece Özdemir Zeydanlı2, Şengül Özdek3

  • 1Medical Park Ankara Hospital, Ankara, Türkiye.

Turkish Journal of Ophthalmology
|April 24, 2023
PubMed

Insights

This study details complications from the inverted internal limiting membrane (ILM) flap technique for macular holes (MH). While some cases show spontaneous closure, others may develop flap contracture or dislocation requiring intervention.

Area of Science:

  • Ophthalmology
  • Retinal Surgery

Background:

  • The inverted internal limiting membrane (ILM) flap technique is used for macular hole (MH) repair.
  • Understanding potential flap-related complications is crucial for surgical outcomes.

Purpose of the Study:

  • To report and analyze flap-related complications following the inverted internal limiting membrane (ILM) flap technique for macular hole (MH) repair.
  • To describe the clinical course and management of these complications.

Main Methods:

  • Case series reporting three patients who underwent the inverted ILM flap technique for MH repair.
  • Detailed observation of postoperative outcomes, including anatomical closure, functional results, and specific flap-related complications.

Main Results:

  • Case 1: Spontaneous MH closure at 2 months with a flap closure pattern.
  • Case 2: Early MH closure but developed flap contracture and epiretinal membrane (ERM) at 18 months, without functional decline.
  • Case 3: Early postoperative flap dislocation requiring revision surgery.

Conclusions:

  • The flap closure pattern may indicate a delayed spontaneous anatomical closure for large MHs.
  • ILM flap contracture and ERM formation might be benign long-term complications.
  • Flap dislocation is an early complication necessitating potential surgical revision.
Keywords:
Macular holeflap closureflap contractureflap dislocationinverted internal limiting membrane flapvitrectomy

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