title: Efficacy of inverted internal limiting membrane flap technique for the treatment of macular hole in high myopia.
abstract: OBJECTIVE
  To determine the effect of pars plana vitrectomy (PPV) with inverted internal limiting membrane (ILM) flap technique for macular hole with or without retinal detachment in highly myopic eyes.
  
  
  METHODS
  Retrospective, interventional case series.
  
  
  METHODS
  Ten eyes of 10 patients with macular hole with (4 eyes) or without (6 eyes) retinal detachment in high myopia (axial length more than 26.5 mm) were treated by PPV with inverted ILM flap technique.
  
  
  RESULTS
  Macular hole closure was observed in 8 eyes (80%) following the initial surgery (in 5 eyes without retinal detachment and in 3 eyes with retinal detachment). In 4 eyes with retinal detachment caused by macular hole, retinas of 3 eyes were reattached by the initial surgery. Postoperative best-corrected visual acuity improved by more than 2 lines in 5 eyes (50%), was unchanged in 4 eyes (40%), and worsened by more than 2 lines in 1 eye (10%).
  
  
  CONCLUSIONS
  Inverted ILM flap technique might contribute to a high closure rate of macular hole and be a preferable adjuvant to the treatment of macular hole in high myopia with or without retinal detachment.
authors.affiliation: Department of Ophthalmology, Otsu Red Cross Hospital, Otsu, Japan. KURIYAMA@otsu.jrc.or.jp
authors.forename: Shoji
authors.initials: S
authors.lastname: Kuriyama
authors.forename: Hisako
authors.initials: H
authors.lastname: Hayashi
authors.forename: Yoko
authors.initials: Y
authors.lastname: Jingami
authors.forename: Naofumi
authors.initials: N
authors.lastname: Kuramoto
authors.forename: Joe
authors.initials: J
authors.lastname: Akita
authors.forename: Miho
authors.initials: M
authors.lastname: Matsumoto
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D058452:Axial Length, Eye / Q000473:pathology; D001485:Basement Membrane / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D047728:Myopia, Degenerative / Q000150:complications*; D013508:Ophthalmologic Surgical Procedures; D012163:Retinal Detachment / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D012167:Retinal Perforations / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D012189:Retrospective Studies; D013524:Surgical Flaps; D041623:Tomography, Optical Coherence; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology; D014821:Vitrectomy