Macular hole (MH) affects the central macula, causing visual impairment, metamorphopsia, and central scotoma. Vitrectomy with internal limiting membrane (ILM) peeling and tamponade is the standard treatment. The inverted ILM flap procedure is a newer surgical method that has shown promising anatomical results, particularly in large or chronic macular holes, by improving the rate of anatomical closure. This case series reports four patients with MH treated using vitrectomy with the inverted ILM flap technique using sulfur hexafluoride (SF6) gas tamponade. All patients presented with progressive central vision loss and were diagnosed via optical coherence tomography (OCT). Three of the four patients had a history of symptom duration exceeding three months, and one patient presented within one month of onset. Anatomical closure of the macular hole was achieved in all cases. One patient showed marked improvement in visual acuity, while the others exhibited limited functional recovery. Postoperative OCT imaging confirmed the closure of the defect in all patients. The visual outcomes appear to be influenced by factors such as the duration and size of the macular hole, as well as underlying ocular conditions. These findings highlight the importance of early diagnosis, timely surgical intervention, and patient education in optimizing outcomes for macular hole repair.
| Published in | World Journal of Medical Case Reports (Volume 6, Issue 2) |
| DOI | 10.11648/j.wjmcr.20250602.11 |
| Page(s) | 10-14 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2025. Published by Science Publishing Group |
Macular Hole, Inverted ILM Flap, Pars Plana Vitrectomy, ILM Peeling, Case Series
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APA Style
Reynaldo, Susetyo, P. B. (2025). Macular Hole Repair: Result of the Inverted Flap Technique-A Case Series. World Journal of Medical Case Reports, 6(2), 10-14. https://doi.org/10.11648/j.wjmcr.20250602.11
ACS Style
Reynaldo; Susetyo, P. B. Macular Hole Repair: Result of the Inverted Flap Technique-A Case Series. World J. Med. Case Rep. 2025, 6(2), 10-14. doi: 10.11648/j.wjmcr.20250602.11
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Download@article{10.11648/j.wjmcr.20250602.11,
author = {Reynaldo and Puranto Budi Susetyo},
title = {Macular Hole Repair: Result of the Inverted Flap Technique-A Case Series
},
journal = {World Journal of Medical Case Reports},
volume = {6},
number = {2},
pages = {10-14},
doi = {10.11648/j.wjmcr.20250602.11},
url = {https://doi.org/10.11648/j.wjmcr.20250602.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjmcr.20250602.11},
abstract = {Macular hole (MH) affects the central macula, causing visual impairment, metamorphopsia, and central scotoma. Vitrectomy with internal limiting membrane (ILM) peeling and tamponade is the standard treatment. The inverted ILM flap procedure is a newer surgical method that has shown promising anatomical results, particularly in large or chronic macular holes, by improving the rate of anatomical closure. This case series reports four patients with MH treated using vitrectomy with the inverted ILM flap technique using sulfur hexafluoride (SF6) gas tamponade. All patients presented with progressive central vision loss and were diagnosed via optical coherence tomography (OCT). Three of the four patients had a history of symptom duration exceeding three months, and one patient presented within one month of onset. Anatomical closure of the macular hole was achieved in all cases. One patient showed marked improvement in visual acuity, while the others exhibited limited functional recovery. Postoperative OCT imaging confirmed the closure of the defect in all patients. The visual outcomes appear to be influenced by factors such as the duration and size of the macular hole, as well as underlying ocular conditions. These findings highlight the importance of early diagnosis, timely surgical intervention, and patient education in optimizing outcomes for macular hole repair.
},
year = {2025}
}
TY - JOUR T1 - Macular Hole Repair: Result of the Inverted Flap Technique-A Case Series AU - Reynaldo AU - Puranto Budi Susetyo Y1 - 2025/05/19 PY - 2025 N1 - https://doi.org/10.11648/j.wjmcr.20250602.11 DO - 10.11648/j.wjmcr.20250602.11 T2 - World Journal of Medical Case Reports JF - World Journal of Medical Case Reports JO - World Journal of Medical Case Reports SP - 10 EP - 14 PB - Science Publishing Group SN - 2994-726X UR - https://doi.org/10.11648/j.wjmcr.20250602.11 AB - Macular hole (MH) affects the central macula, causing visual impairment, metamorphopsia, and central scotoma. Vitrectomy with internal limiting membrane (ILM) peeling and tamponade is the standard treatment. The inverted ILM flap procedure is a newer surgical method that has shown promising anatomical results, particularly in large or chronic macular holes, by improving the rate of anatomical closure. This case series reports four patients with MH treated using vitrectomy with the inverted ILM flap technique using sulfur hexafluoride (SF6) gas tamponade. All patients presented with progressive central vision loss and were diagnosed via optical coherence tomography (OCT). Three of the four patients had a history of symptom duration exceeding three months, and one patient presented within one month of onset. Anatomical closure of the macular hole was achieved in all cases. One patient showed marked improvement in visual acuity, while the others exhibited limited functional recovery. Postoperative OCT imaging confirmed the closure of the defect in all patients. The visual outcomes appear to be influenced by factors such as the duration and size of the macular hole, as well as underlying ocular conditions. These findings highlight the importance of early diagnosis, timely surgical intervention, and patient education in optimizing outcomes for macular hole repair. VL - 6 IS - 2 ER -
Department of Ophthalmology, Gatot Soebroto Central Army Hospital, Jakarta, Indonesia
Department of Ophthalmology, Vitreoretinal Surgeon, Gatot Soebroto Central Army Hospital, Jakarta, Indonesia
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