title: Inverted internal limiting membrane flap technique for surgical repair of myopic macular holes.
abstract: OBJECTIVE
  To present the anatomical and functional results of vitrectomy with the "inverted internal limiting membrane flap technique" in myopic macular holes without retinal detachment.
  
  
  METHODS
  A prospective interventional study of 19 myopic eyes with a spherical equivalent >-6 diopters with macular holes in 18 consecutive patients. Preoperative and postoperative visual acuity and spectral domain optical coherence tomography images were evaluated. The main outcome measure was visual outcome and macular hole closure rate.
  
  
  RESULTS
  Mean visual acuity improved from 1.2 logMAR to 0.56 logMAR. We confirmed the closure of the macular hole with spectral domain optical coherence tomography in all cases. The closure of the macular hole began in the inner retinal layers, and the architecture gradually filled with tissue. Photoreceptor and external limiting membrane defects improved during the first 12 months after surgery.
  
  
  CONCLUSIONS
  Vitrectomy with the inverted internal limiting membrane flap technique may be an effective addition to surgical options for treating myopic macular holes. Spectral domain optical coherence tomography images confirm that the process of foveal architectural repair after this surgery continues over at least a 12-month period.
authors.affiliation: *Department of Ophthalmology, Ophthalmic Clinic Jasne Blonia, Lodz, Poland; and †Department of Ophthalmology, III Municipal Hospital K. Jonscher, Lodz, Poland.
authors.forename: Zofia
authors.initials: Z
authors.lastname: Michalewska
authors.forename: Janusz
authors.initials: J
authors.lastname: Michalewski
authors.forename: Karolina
authors.initials: K
authors.lastname: Dulczewska-Cichecka
authors.forename: Jerzy
authors.initials: J
authors.lastname: Nawrocki
mesh_terms: D058452:Axial Length, Eye; D019773:Epiretinal Membrane / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D047728:Myopia, Degenerative / Q000503:physiopathology / Q000601:surgery*; D011446:Prospective Studies; D012167:Retinal Perforations / Q000503:physiopathology / Q000601:surgery*; D013524:Surgical Flaps; D041623:Tomography, Optical Coherence; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology; D014821:Vitrectomy