Journal
OPHTHALMIC SURGERY LASERS & IMAGING RETINA
Volume 49, Issue 4, Pages 236-240Publisher
SLACK INC
DOI: 10.3928/23258160-20180329-04
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BACKGROUND AND OBJECTIVE: To compare the outcomes of inverted internal limiting membrane (ILM) flap technique (IFT) with the standard ILM peel (SIP) for large macular holes (MHs). PATIENTS AND METHODS: This is a prospective, randomized study in which 100 patients with idiopathic MHs with minimum linear dimension of 600 mu m or greater were recruited. Group 1 underwent SIP and group 2 underwent IFT. Best-corrected visual acuity (BCVA), type of MH closure, and multifocal electroretinogram (mfERG) were evaluated at presentation, 1 week, 1 month, and 3 months postoperatively. RESULTS: Mean postoperative BCVA was 0.86 +/- 0.19 in group 1 and 0.67 +/- 0.3 in group 2 at 3 months postoperatively (P = .001). Type 1 closure was observed in 34.04% of patients in group 1 and in 62.79% of patients in group 2 (P = .02). mfERG showed improvement in both groups. CONCLUSION: IFT provides superior outcomes compared to SIP and, hence, could be considered as the surgical modality of choice in large MH.
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