Treatment of idiopathic macular hole: internal limiting membrane peeling or inverted internal limiting membrane flap
10.3760/cma.j.issn.2095-0160.2019.01.011
- VernacularTitle:特发性黄斑裂孔的治疗:内界膜瓣翻转术还是单纯内界膜剥除术
- Author:
Guangfeng LIU
1
;
Yanrong JIANG
Author Information
1. 北京大学国际医院眼科 102206
- Keywords:
Macular hole,idiopathic;
Macular hole/surgery;
Internal limiting membrane
- From:
Chinese Journal of Experimental Ophthalmology
2019;37(1):49-50
- CountryChina
- Language:Chinese
-
Abstract:
Surgical management of idiopathic macular hole (IMH) is a hot topic in the field of fundus disease,and its classical surgery is internal limiting membrane peeling.In recent years,many researchers explored inverted internal limiting membrane flap technique for IMH.However,how large the IMH is necessary for inverted internal limiting membrane flap technique? Does the inverted internal limiting membrane flap technique have more advantages in operating procedure,anatomical and functional recovery of IMH in comparison with internal limiting membrane peeling? Our clinical researches and relative literature showed that it is better to use inverted internal limiting membrane flap technique for >550 μm IMH.There is still no available evidence showed inverted internal limiting membrane flap technique is of more benefit to the anatomical repair and functional restoration in comparison with internal limiting membrane peeling for IMH.Some viewpoints in this field are open to question.