2020/05/28 by Archana Kumari, Kumari, Archana, Lalit P. Agarwal +9
Medicine · #610 Medical sciences #Intraocular Surgery and Lenses #Medicine #Retinal and Macular Surgery #Traumatic Ocular and Foreign Body Injuries #chronic large traumatic macular hole #inverted temporal internal limiting membrane flap technique #traumatic macular hole
paper · doi:10.3205/oc000154
openalex publication_date 2020/05/28 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/19
Various modifications of surgical techniques and surgical adjuncts are adopted with standard pars plana vitrectomy (PPV) to improve the outcome of traumatic macular hole (TMH) surgeries. We describe a successful closure of a chronic large TMH of three years duration with inverted temporal internal limiting membrane (ILM) flap technique. A 36-year-old male patient had an optical coherence tomography (OCT) documented chronic macular hole (MH) for three years following blunt trauma. Fundus examination also showed choroidal rupture scar temporal to fovea. The minimum MH diameter was 769 µ and the basal diameter 1431 µ in OCT. Standard PPV with inverted temporal ILM flap and gas tamponade was done. The postoperative period was uneventful. The best corrected visual acuity improved from 6/60 preoperatively to 6/18 six months postoperatively, and OCT showed a closed MH with anatomical type 1 closure. This case highlights that the inverted temporal ILM flap technique is a safe and effective technique for patients with even chronic and large TMH.