Combined epiretinal and internal limiting membrane retracting door flaps for large macular holes associated with epiretinal membranes.
Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie
PURPOSE: To assess the closure rate of large full-thickness macular holes (FTMH) associated with epiretinal membrane (ERM) with a combined epiretinal and internal limiting membrane retracting door flap.
METHODS: Retrospective chart review of patients treated at a single tertiary retina practice between January 2017 and November 2019. Individuals with FTMH larger than 400 μm and co-diagnosis of ERM who underwent surgical repair with an ERM flap were included. Patients underwent pars plana vitrectomy with peeling of ERM that was positioned as a retracting door flap to cover the FTMH. Primary outcome was closure rate at 6 months following surgery. Final surgical success rate and visual acuity were secondary outcomes.
RESULTS: Among 7 eyes of 7 patients, 6 eyes achieved primary surgical success and final surgical success rate was achieved in all 7 eyes with a large FTMH repaired with ERM flap. The mean minimum linear diameter of the FTMH was 681 μm ± 295. All patients had follow-up greater than 6 months, with a mean duration of 17 months (range 14-23 months). Visual acuity improved from a mean of 0.9 ± 0.3 logMar (20/160) before surgery to 0.3 ± 0.5 logMar (Snellen 20/40), postoperatively.
CONCLUSION: Large FTMH with concurrent ERM that are managed with an ERM flap have high single-surgery success rate.
Online ahead of print.
Marlow ED, Bakhsh SR, Reddy DN, Farley ND, Williams GA, Mahmoud TH. Combined epiretinal and internal limiting membrane retracting door flaps for large macular holes associated with epiretinal membranes. Graefes Arch Clin Exp Ophthalmol. 2022 Mar 1. doi: 10.1007/s00417-022-05608-7. Epub ahead of print. PMID: 35230476.