title: MACULAR HOLE CLOSURE OVER RESIDUAL SUBRETINAL FLUID BY AN INVERTED INTERNAL LIMITING MEMBRANE FLAP TECHNIQUE IN PATIENTS WITH MACULAR HOLE RETINAL DETACHMENT IN HIGH MYOPIA.
abstract: OBJECTIVE
  To describe the closure of a macular hole over residual subretinal fluid in patients with macular hole retinal detachment in high myopia who had been treated using an inverted internal limiting membrane flap technique.
  
  
  METHODS
  Three patients with macular hole retinal detachment in high myopia underwent pars plana vitrectomy using the inverted internal limiting membrane flap technique. One patient received a silicone oil injection, and the other two patients received a long-acting gas injection at the end of the surgery. After surgery, spectral domain ocular coherence tomography examination was performed.
  
  
  RESULTS
  In the patient with the silicone oil injection, spectral domain optical coherence tomography revealed that the macular hole was sealed with an inverted internal limiting membrane flap in the presence of subretinal fluid 1 day after surgery. The inner retinal layers gradually regained a more physiologic configuration over the residual subretinal fluid. In all patients, macular holes were completely closed over the subretinal fluid, which was gradually absorbed.
  
  
  CONCLUSIONS
  Using the inverted internal limiting membrane flap technique, macular holes were closed over residual subretinal fluid in patients with macular hole retinal detachment. The results indicate that reattachment of the retina may not be necessary for closure of macular holes.
authors.affiliation: *Department of Ophthalmology, Kanazawa University Graduate School of Medical Science, Kanazawa, Japan; and †Department of Ophthalmology, Osaka University Medical School, Osaka, Japan.
authors.forename: Tetsuhiko
authors.initials: T
authors.lastname: Okuda
authors.forename: Tomomi
authors.initials: T
authors.lastname: Higashide
authors.forename: Koh
authors.initials: K
authors.lastname: Kobayashi
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Ikuno
authors.forename: Kazuhisa
authors.initials: K
authors.lastname: Sugiyama
mesh_terms: D000328:Adult; D000368:Aged; D058450:Endotamponade / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D047728:Myopia, Degenerative / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D012029:Refraction, Ocular; D012160:Retina / Q000473:pathology; D012163:Retinal Detachment / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D012167:Retinal Perforations / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D012189:Retrospective Studies; D012827:Silicone Oils / Q000008:administration & dosage; D058471:Subretinal Fluid / Q000000981:diagnostic imaging*; D041623:Tomography, Optical Coherence; D014792:Visual Acuity; D014821:Vitrectomy / Q000379:methods*
chemical_list: D012827:Silicone Oils