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 Table of Contents  
OPHTHALMIC IMAGE
Year : 2023  |  Volume : 3  |  Issue : 1  |  Page : 256

Edge peel technique [EPT] for ILM peeling in macular hole surgery


Dr. Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India

Date of Web Publication20-Jan-2023

Correspondence Address:
Pradeep Venkatesh
Dr R P Centre, AIIMS, New Delhi - 110 029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1070_22

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How to cite this article:
Nayak S, Bhayana AA, Venkatesh P, Azad SV. Edge peel technique [EPT] for ILM peeling in macular hole surgery. Indian J Ophthalmol Case Rep 2023;3:256

How to cite this URL:
Nayak S, Bhayana AA, Venkatesh P, Azad SV. Edge peel technique [EPT] for ILM peeling in macular hole surgery. Indian J Ophthalmol Case Rep [serial online] 2023 [cited 2023 Feb 1];3:256. Available from: https://www.ijoreports.in/text.asp?2023/3/1/256/368120



We describe a novel, safer approach for internal limiting membrane (ILM) peeling during macular hole surgery.[1] We propose taking advantage of the already existent 360° natural edge of the hole for initiation of ILM peel using micro-forceps grasping at a convenient location [Figure 1]a, gently raising for flap formation [Figure 1]b, then peeling circumferentially until completion [Figure 1]c, [Figure 1]d. Our technique uses “macular hole height” from the choroid as a safety margin to prevent inadvertent pinching of the neurosensory retina, significant hemorrhage, and iatrogenic hole formation during ILM fracture attempts and peel initiation, especially for beginners [Video 1][Additional file 1].
Figure 1: (a) pinching at macular hole edge; (b) elevating ILM flap; (c) maculorrhexis in progress; (d) peeling complete

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Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Yagi F, Sato Y, Takagi ST, Tomita G. Macular hole surgery. Ophthalmology 2012;119:647-8.  Back to cited text no. 1
    


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