A Novel Approach for the Management of Macular Detachment Associated with Optic Disc Pit: Temporal Inverted Internal Limiting Membrane Flap Technique and a New Heavy Silicone Oil (Densiron Xtra)



A case which had bilateral macular detachment with optic pit was operated with a new technique. 23G PPV, posterior hyaloid removal, Brilliant Blue assited ILM peeling was performed using the Tano diamond dusted scrapper in order to create a temporal ILM flap. The ILM flap was peeled until the temporal edge of the optic disk and than was inverted and transplanted to cover the optic disc totally in order to close the optic disc pit. Densiron Xtra was used as a internal tamponade. Interestingly the resolution of subretinal fluid was very rapid, at post-op day 1 the the subretinal fluid was completely resorbed. The tips and treaks of performing the ILM flap technique is described.



Murat Oncel
Istanbul, Turkey
Email : muratoncel@superonline.com
Cell Phone: +905309721245
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