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Partial Detachment of an ILM Inverted Flap After a Successful Closure of a Full-Thickness Traumatic Macular Hole
1Department of Surgery, King Faisal University, Al-Ahsa, Saudi Arabia.
Purpose:
To report a case of partial detachment of an inverted internal limiting membrane (ILM) flap following a successful closure of a full-thickness traumatic macular hole.
Observations:
A 24-year-old male patient presented with a history of a blunt trauma and a full-thickness macular hole. Visual acuity was (20/50) then deteriorated to (20/100) prior to surgery. He underwent pars plana vitrectomy with an inverted ILM flap and gas tamponade. Postoperatively, successful closure of the hole was noted with a visible hinged ILM flap observed over the retina in optical coherence tomography (OCT). Three months later, the patient presented with a complaint of a central floater. Visual acuity was (20/30) and a partially detached ILM flap was noted in the OCT.
Conclusions And Importance:
Inverted ILM flap might detach from the retinal surface after gas resolution and successful closure of a full-thickness macular hole.
