Flower-petal inverted flap for internal limiting membrane in myopic eyes with macular hole and rhegmatogenous retinal detachment
We demonstrate a modified internal limiting membrane (ILM) inverted flap technique for closure of macular holes (MHs) concurrent with rhegmatogenous retinal detachment in myopic eyes. Multiple ILM flaps were created in a flower-petal configuration around the MH over the detached retina after shallow...
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| Veröffentlicht in: | Indian journal of ophthalmology 2022-02, Vol.70 (2), p.667-669 |
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| container_title | Indian journal of ophthalmology |
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| creator | Habib, Ahmed Mansour, Ahmed Fouad, Yousef |
| description | We demonstrate a modified internal limiting membrane (ILM) inverted flap technique for closure of macular holes (MHs) concurrent with rhegmatogenous retinal detachment in myopic eyes. Multiple ILM flaps were created in a flower-petal configuration around the MH over the detached retina after shallowing the retina as much as possible. Traction was always in a direction that allowed the optic disc to act as an anchor to limit iatrogenic breaks and to bridge the hole with multiple, more secure flaps should one of the flaps revert or break away. The technique proved safe and efficient in MH closure in our series of eight cases. The modification described provides an effective approach for challenging myopic cases in which ILM flap creation is needed over a detached retina. |
| doi_str_mv | 10.4103/ijo.IJO_2226_21 |
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Multiple ILM flaps were created in a flower-petal configuration around the MH over the detached retina after shallowing the retina as much as possible. Traction was always in a direction that allowed the optic disc to act as an anchor to limit iatrogenic breaks and to bridge the hole with multiple, more secure flaps should one of the flaps revert or break away. The technique proved safe and efficient in MH closure in our series of eight cases. The modification described provides an effective approach for challenging myopic cases in which ILM flap creation is needed over a detached retina.</description><identifier>ISSN: 0301-4738</identifier><identifier>EISSN: 1998-3689</identifier><identifier>DOI: 10.4103/ijo.IJO_2226_21</identifier><identifier>PMID: 35086261</identifier><language>eng</language><publisher>India: Wolters Kluwer India Pvt. 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Multiple ILM flaps were created in a flower-petal configuration around the MH over the detached retina after shallowing the retina as much as possible. Traction was always in a direction that allowed the optic disc to act as an anchor to limit iatrogenic breaks and to bridge the hole with multiple, more secure flaps should one of the flaps revert or break away. The technique proved safe and efficient in MH closure in our series of eight cases. The modification described provides an effective approach for challenging myopic cases in which ILM flap creation is needed over a detached retina.</description><subject>Basement Membrane - surgery</subject><subject>Care and treatment</subject><subject>Complications and side effects</subject><subject>Diagnosis</subject><subject>Eye</subject><subject>Flaps (Surgery)</subject><subject>Flowers</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Intraocular pressure</subject><subject>Measurement</subject><subject>Myopia</subject><subject>Retina</subject><subject>Retinal detachment</subject><subject>Retinal Detachment - diagnosis</subject><subject>Retinal Detachment - surgery</subject><subject>Retinal Perforations - diagnosis</subject><subject>Retinal Perforations - surgery</subject><subject>Retrospective Studies</subject><subject>Risk factors</subject><subject>Surgery</subject><subject>Surgical Technique</subject><subject>Tomography, Optical Coherence - methods</subject><subject>Visual Acuity</subject><subject>Vitrectomy - methods</subject><issn>0301-4738</issn><issn>1998-3689</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9ks1v1DAQxSMEokvhzA1Z4sIlW38kjn1BqioKRRW9wNnyOpOst068OElXe-NPZ1bbli1akA-WZn7zxn56WfaW0XnBqDjzqzi_-npjOOfScPYsmzGtVS6k0s-zGRWU5UUl1En2ahhWlIqKafUyOxElVZJLNst-XYa4gZSvYbSB-P4O0gg1aYJdkyYmrIyQemwF3_nR9y3poFsk2wO2SLeNa-8IbGEgGz8uSWfdFGwiyxiA2L4maQltZ8fYQh-ngSRADVSrcZ1bdtCPr7MXjQ0DvLm_T7Mfl5--X3zJr28-X12cX-dO8rLOtS2dViWnDTi9aApeV7xZOFVzZSWFCutFbbWsgAkJiqtKKkErJmtOC1U5cZp93Ouup0UHtcPVyQazTr6zaWui9eZpp_dL08Y7oykXmlco8OFeIMWfEwyj6fzgIAT0Ar9muORCaVYyiej7v9BVnHYuDkawolSF1oX-H4VaBZO0KugfqrUBjO-biK9zu9XmXGrGRCH1bmN-hELTAb8Se2g8lp_w8yM8nho6744OnO0HXIrDkKB5dI5Rs4uiwSiagyjixLtDwx_5h-wh8G0PbGLAkA23YcIkGmRv-7j5l66RsjKHoTUPoRW_AXGj9tM</recordid><startdate>20220201</startdate><enddate>20220201</enddate><creator>Habib, Ahmed</creator><creator>Mansour, Ahmed</creator><creator>Fouad, Yousef</creator><general>Wolters Kluwer India Pvt. 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Multiple ILM flaps were created in a flower-petal configuration around the MH over the detached retina after shallowing the retina as much as possible. Traction was always in a direction that allowed the optic disc to act as an anchor to limit iatrogenic breaks and to bridge the hole with multiple, more secure flaps should one of the flaps revert or break away. The technique proved safe and efficient in MH closure in our series of eight cases. The modification described provides an effective approach for challenging myopic cases in which ILM flap creation is needed over a detached retina.</abstract><cop>India</cop><pub>Wolters Kluwer India Pvt. Ltd</pub><pmid>35086261</pmid><doi>10.4103/ijo.IJO_2226_21</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Indian journal of ophthalmology, 2022-02, Vol.70 (2), p.667-669 |
| issn | 0301-4738 1998-3689 |
| language | eng |
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| source | MEDLINE; Medknow Open Access Medical Journals; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central Open Access; PubMed Central |
| subjects | Basement Membrane - surgery Care and treatment Complications and side effects Diagnosis Eye Flaps (Surgery) Flowers Health aspects Humans Intraocular pressure Measurement Myopia Retina Retinal detachment Retinal Detachment - diagnosis Retinal Detachment - surgery Retinal Perforations - diagnosis Retinal Perforations - surgery Retrospective Studies Risk factors Surgery Surgical Technique Tomography, Optical Coherence - methods Visual Acuity Vitrectomy - methods |
| title | Flower-petal inverted flap for internal limiting membrane in myopic eyes with macular hole and rhegmatogenous retinal detachment |
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