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Modified technique of internal limiting membrane staining in idiopathic macular hole surgery

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Abstract

Purpose

To describe a new method of ILM staining with TB under perfluorocarbon in cases of full thickness idiopathic macular hole using the inverted ILM flap technique.

Methods

This study was a prospective interventional case series that included 42 eyes of 42 patients who had full thickness idiopathic macular hole with a minimum diameter more than 400 µm. Patients consecutively underwent vitrectomy with inverted ILM flap technique using the modified ILM staining method.

Results

Anatomic success was achieved in 40 patients (95.2%). The other two patients had flat-open macular holes with bare RPE (foveal defect of neurosensory retina). Among the 40 eyes with closed holes, 25 eyes were of the U-type closure (normal foveal contour) and 15 eyes were of the V-type closure (steep foveal contour). These 40 eyes remained closed during the 6 months follow-up period.

Conclusion

The modified technique of ILM staining using TB under PFCL is safe and effective in cases of idiopathic macular hole combined with the inverted ILM flap technique.

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Authors and Affiliations

  1. Ophthalmology Department, Alexandria University, 8 Hassan Allam Street, Kasr Elmoltazem, Smouha, Alexandria, Egypt

    Samir Mohamed El-Baha & Mahmoud Alaa Abouhussein

Authors
  1. Samir Mohamed El-Baha
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  2. Mahmoud Alaa Abouhussein
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Corresponding author

Correspondence to Mahmoud Alaa Abouhussein.

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Conflict of interest

Both authors declare that they have no conflict of interest.

Research involving human participants

Alexandria University Ethical Committee approval was obtained, research was adherent to Declaration of Helsinki.

Informed consent

Informed consent was obtained from all patients.

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Video showing the new technique of ILM staining (MP4 10022 kb)

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El-Baha, S.M., Abouhussein, M.A. Modified technique of internal limiting membrane staining in idiopathic macular hole surgery. Int Ophthalmol 39, 557–562 (2019). https://doi.org/10.1007/s10792-018-0842-1

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  • DOI: https://doi.org/10.1007/s10792-018-0842-1

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