VT0343 – Large Macular Hole with Differential ILM Flaps
VT0343 – Large Macular Hole with Differential ILM Flaps
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DR. AJAY AURORA
, DR. ARJUN AURORA
Abstract
We describe four eyes with asymmetry macular holes that underwent multiple leaf inverted ILM (Internal Limiting Membrane) peel that were reposed on the macular hole like cabbage leaves ensuring that the Vitreal surface of the flap above adhered to the retinal surface of the flap below ensuring a hook-and-loop fastener closure of the inverted ILM flaps without the need to stuff ILM into the macular hole. The differential sizing of the ILM flap was decided by the shape and sloping walls of the Mac hole. Sequential OCT and OCTA images were done to understand the closure of these macular
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