title: Successful closure of treatment-naïve, flat edge (Type II), full-thickness macular hole using inverted internal limiting membrane flap technique.
abstract: OBJECTIVE
  The objective of this study was to present the outcome of the internal limiting membrane (ILM) peeling flap technique for a treatment-naïve, flat edge (Type II), full-thickness macular hole (MH).
  
  
  METHODS
  A 52-year-old man presented with complaints of decreased vision and seeing black spot. He was diagnosed to have a flat edge, full-thickness MH, which was confirmed by optical coherence tomography (OCT). He underwent 23G vitrectomy with brilliant blue G-assisted inverted ILM peeling with an inverted flap over the hole followed by fluid gas exchange.
  
  
  RESULTS
  Postoperative follow-up until 3 months showed successful closure of the MH, which was confirmed by OCT. The best-corrected visual acuity improved from baseline 6/60 to 6/12 at the final follow-up.
  
  
  CONCLUSIONS
  Using the inverted ILM flap technique, a treatment-naïve, flat edge (Type II), full thickness MH achieved successful anatomical and functional outcomes.
authors: Department of Ophthalmology, Al Zahra Hospital.
authors: Nazimul
authors: N
authors: Hussain
authors: Al Zahra Medical Center, Dubai, United Arab Emirates.
authors: Anjli
authors: A
authors: Hussain
keywords: inverted ILM; macular hole; optical coherence tomography