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Double Inverted Flap Technique for Stage IV MH

Aim: To present a modification of the conventional inverted flap technique in stage IV macular hole surgery. Technique: After a core vitrectomy and trypan blue-assisted ILM peeling. Two vertical tears were created, temporal and nasal, to the fovea. Boht flaps were folded over the fovea creating a large ILM peeling. Air fluid exchange was followed by SF6 25% injection. Results: Six eyes of 6 patients were treated with this technique and...

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My Way to Perform the Inverted Flap Technique for MH

Introduction: Full-thickness idiopathic macular holes are foveal anatomic defects with a complete interruption of all retinal layers. This results in a significant visual impact for the patient. Current surgical options are constantly under debate, particularly after the new International Vitreomacular Traction Study Group classification. Various surgical options have been proposed to boost the closure rates in this disorder, namely...

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Why Did I Choose the Inverted ILM Flap Technique?

Simple surgical maneouver. Better anatomical results. Earlier visual recovery. Large and difficult macular holes may be succesfully closed with this technique. No additional equipment/ dye etc. is necessary. Enables hole closure in different indications (traumatic, high myopia). It allows succesful treatment of myopic macular hole with retinal detachment. Reoperations are predictable, logic and easy to perform. Temporal inverted ILM...

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Morpho-functional Evaluation of the Ganglion Cell Complex After MH and ILM Peeled with Tano Diamond Scrapper

To evaluate the functionality and the thickness of the ganglion cell complex (GCC) in sixteen patients with full-thickness macular hole underwent ILM peeling and scraping with Tano Diamond Duster Membrane Scraper (DDMS). Three-port pars plana vitrectomy with a 23-gauge system was performed with ILM peeling. After Dual Blue staining, air was used as tamponade. Before performing fluid/air exchange, the hole edges were repeatetdly massaged...

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3 Cases of MH that Lately Closed when the Patient Respected his Positioning

Macular hole are frequently operated using gas tamponnade, requiring a face-down positioning. However, some suggest that this positioning is not so important whereas others consider that tamponnading is not necessary. In the EVRS MH study, we showed that 85% of macular holes would close; ranging from 95% in small holes to 40% in complex situations. However, patients are frequently complaining about the face-down positioning,...

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A Wrong Decision: Surgery of Lamellar Retinal Hole (A Case Report)

SCIENTIFIC POSTER 2016_A Wrong Decision Surgery of Lamellar Retinal Hole (A Case Report) Lidmila Prochazkova Objective: Our case report presents the course of a lamellar hole surgery and subsequent macular hole surgeries in a female patient aged 56 years. Introduction: Macular hole is a fovea defect in full thickness. It is caused by both tangential and saggital traction of posterior hyaloid in macular area. Macular hole progressively...

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