|Year : 2021 | Volume
| Issue : 4 | Page : 883
Inverted internal limiting membrane peel in rhegmatogenous retinal detachment with full-thickness macular hole
Shilpi H Narnaware1, Prashant K Bawankule2, Rakesh Nagdeve3
1 Consultant Vitreo-Retina and ROP Specialist, Sarakshi Netralaya, 19, Rajiv Nagar, Wardha Road, Nagpur, Maharashtra, India
2 Vitreo-Retinal Surgeon, Sarakshi Netralaya, 19, Rajiv Nagar, Wardha Road, Nagpur, Maharashtra, India
3 Ophthalmic Technician and Optometrist, Sarakshi Netralaya, 19, Rajiv Nagar, Wardha Road, Nagpur, Maharashtra, India
|Date of Web Publication||09-Oct-2021|
Dr. Shilpi H Narnaware
Consultant Vitreo-Retina and ROP Specialist, Sarakshi Netralaya, 19, Rajiv Nagar, Wardha Road, Nagpur - 440 025 Maharashtra
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Narnaware SH, Bawankule PK, Nagdeve R. Inverted internal limiting membrane peel in rhegmatogenous retinal detachment with full-thickness macular hole. Indian J Ophthalmol Case Rep 2021;1:883
|How to cite this URL:|
Narnaware SH, Bawankule PK, Nagdeve R. Inverted internal limiting membrane peel in rhegmatogenous retinal detachment with full-thickness macular hole. Indian J Ophthalmol Case Rep [serial online] 2021 [cited 2021 Oct 28];1:883. Available from: https://www.ijoreports.in/text.asp?2021/1/4/883/327625
A 50-year-old male underwent right eye vitrectomy, membrane peel, and inverted internal limiting membrane (ILM) peel technique with endolaser with silicon oil tamponade for rhegmatogenous retinal detachment with full thickness macular hole with proliferative vitreo – retinopathy C3. Optical coherence tomography (OCT) on day 1 [Figure 1] showed how the inverted ILM appeared and the granulation tissue gradually filled up the gap on OCT after a month [Figure 2].
|Figure 1: First postop day OCT showing stuffing of ILM in a macular hole.|
Click here to view
|Figure 2: One month postop OCT showing Type 1 closure of the macular hole.|
Click here to view
ILM being a basement membrane allows glial cell proliferation and macular hole to fill with tissue over time with a mechanism called “flap closure,”, which restores foveal architecture in due course.
The inverted peel improves the anatomical and functional results, restores foveal architecture, and reduces the chances of “flat-open” configuration postoperatively.
Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.
| References|| |
Oh J, Yang SM, Choi YM, Kim SW, Huh K. Glial proliferation after vitrectomy for a macular hole: A spectral domain optical coherence tomography study. Graefes Arch Clin Exp Ophthalmol 2013;251:477-84.
Michalewska Z, Michalewski J, Dulczewska-Cichecka K, Adelman RA, Nawrocki J. Temporal inverted internal limiting membrane flap technique versus classic inverted internal limiting membrane flap technique: A comparative study. Retina 2015;35:1844-50.
Bonnska K, Nawrocki J, Michalewska Z. Mechanism of flap closure after the inverted internal limiting membrane flap technique. Retina 2018;38:2184-9.
[Figure 1], [Figure 2]