Preservation of the internal limiting membrane in the surgical treatment of the macular hole (reverse flap technique)

Abstract

Preservation of the internal limiting membrane in the surgical treatment of the macular hole or reverse flap technique was initially used in selected cases of macular holes, generally (> 600 microns) or to patients with severe myopia, the unexpectedly good results have allowed the use of this technique in the macular hole. The study included subjects diagnosed with a macular hole over 4 months and the anatomical results were evaluated using optical coherence tomography. The results show that 30 patients (from which 60% were women with macular perforation) underwent surgery by vitrectomy with 25G instruments. In conclusion, the reverse flap technique proved to be better than the classic technique.