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 Table of Contents  
OPHTHALMIC IMAGE
Year : 2021  |  Volume : 1  |  Issue : 4  |  Page : 883

Inverted internal limiting membrane peel in rhegmatogenous retinal detachment with full-thickness macular hole


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 Publication09-Oct-2021

Correspondence Address:
Dr. Shilpi H Narnaware
Consultant Vitreo-Retina and ROP Specialist, Sarakshi Netralaya, 19, Rajiv Nagar, Wardha Road, Nagpur - 440 025 Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1419_21

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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.

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Figure 2: One month postop OCT showing Type 1 closure of the macular hole.

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ILM being a basement membrane allows glial cell proliferation and macular hole to fill with tissue over time[1] with a mechanism called “flap closure,”[2],[3] 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

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
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.  Back to cited text no. 1
    
2.
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.  Back to cited text no. 2
    
3.
Bonnska K, Nawrocki J, Michalewska Z. Mechanism of flap closure after the inverted internal limiting membrane flap technique. Retina 2018;38:2184-9.  Back to cited text no. 3
    


    Figures

  [Figure 1], [Figure 2]



 

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