title: Surgical repair of a giant idiopathic macular hole by inverted internal limiting membrane flap.
abstract: A 22-year-old male patient presented with gradual outward deviation of the right eye following corneal tear repair in that eye 8 years prior. He was asymptomatic in the left eye. On examination, his best corrected visual acuity was counting fingers at 2 m in the right eye and 20/80 in the left eye. The left eye showed a large macular hole, 2845 µm in diameter, with a retinal detachment at the posterior pole. The patient underwent pars plana vitrectomy, internal limiting membrane (ILM) peeling with inverted ILM flap technique and silicone oil injection. At the 1-week follow-up visit, there was growth of retinal tissue under the ILM flap. At 2-month follow-up, there was a complete closure of the macular hole and visual acuity was 20/100. At this time, the patient underwent removal of the silicone oil, following which visual acuity was maintained at 20/100.
authors.affiliation: LV Prasad Eye Institute, Hyderabad, Telangana, India.
authors.forename: Riddhima
authors.initials: R
authors.lastname: Deshpande
authors.affiliation: Department of Retina, LV Prasad Eye Institute, Hyderabad, Telangana, India.
authors.forename: Raja
authors.initials: R
authors.lastname: Narayanan
mesh_terms: D006801:Humans; D008266:Macula Lutea / Q000601:surgery*; D008297:Male; D008566:Membranes / Q000601:surgery; D012163:Retinal Detachment / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D012167:Retinal Perforations / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D012827:Silicone Oils; D016896:Treatment Outcome; D014792:Visual Acuity; D014821:Vitrectomy / Q000379:methods*; D055815:Young Adult
chemical_list: D012827:Silicone Oils