title: Pedicle Internal Limiting Membrane Transposition Flap Technique for Refractory Macular Hole.
abstract: OBJECTIVE
  To determine the efficacy of the pedicle internal limiting membrane (ILM) transposition flap technique for refractory macular holes (MHs) in which the inverted ILM flap technique cannot be performed.
  
  
  METHODS
  The pedicle ILM flap transposition technique was conducted by transconjunctival microincision vitrectomy. The authors attempted to peel the remaining ILM inferior from the MH to create an ILM flap. This ILM was still attached to the retina at the upper part of the MH and covered the MH. Finally, fluid-gas exchange was performed. After surgery, patients remained face-down for 1 week. This procedure was performed in two eyes.
  
  
  RESULTS
  There were no adverse events, and MHs were closed successfully in both study eyes.
  
  
  CONCLUSIONS
  The pedicle ILM flap transposition technique has the potential to improve functional and anatomical outcomes in patients with refractory MHs.
authors.forename: Tamaki
authors.initials: T
authors.lastname: Gekka
authors.forename: Akira
authors.initials: A
authors.lastname: Watanabe
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Ohkuma
authors.forename: Kota
authors.initials: K
authors.lastname: Arai
authors.forename: Tomoyuki
authors.initials: T
authors.lastname: Watanabe
authors.forename: Akane
authors.initials: A
authors.lastname: Tsuzuki
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Tsuneoka
mesh_terms: D001485:Basement Membrane / Q000637:transplantation*; D058450:Endotamponade; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013508:Ophthalmologic Surgical Procedures; D016684:Prone Position; D012167:Retinal Perforations / Q000601:surgery*; D013459:Sulfur Hexafluoride / Q000008:administration & dosage; D013524:Surgical Flaps; D041623:Tomography, Optical Coherence
chemical_list: D013459:Sulfur Hexafluoride