Inverted Internal Limiting Membrane Peeling versus Retinal Graft Implantation in Treatment of Idiopathic Macular Hole | ||||
| Al-Azhar International Medical Journal | ||||
| Volume 2024, Issue 12, December 2024 | ||||
| DOI: 10.58675/2682-339X.2789 | ||||
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| Authors | ||||
| Abdallah Hamed; Ahmad Hodeeb; Mohammad Elbahr | ||||
| Ophthalmology, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt | ||||
| Abstract | ||||
| Background: Surgery to repair an idiopathic macular hole typically involves a pars plana vitrectomy(PPV) involving the removal of the posterior hyaloid and the epiretinal membrane as well as fluid air exchange while the patient is in a prone position following the procedure. Objective: To evaluate the optical and structural results of autologous retinal transplant(ART) against inverted internal limiting membrane peeling for the treatment of idiopathic macular holes. Patients and Methods: The study involved reviewing optical coherence tomography(OCT) scans of 30-eyes that had inverted internal limiting membrane flap surgery and 30-eyes that had autologous full-thickness retinal transplant surgery for the treatment of idiopathic macular holes. Results: There were 24 patients (80%) of group A achieved successful anatomical closure at 6- months postoperatively(66.7% were U closure showed better best-corrected visual acuity(BCVA) than other types, and 33.3% were V closure) and 6(20%) patients with no successful anatomical closure(50% were W closure and 50% were of no closure). compared to group B there were 24-patients(80%) of group B achieved successful anatomical closure at 6-months postoperatively(100% complete closure) and 6(20%) patients with no successful anatomical(50% were of partial closure and 50% were of no closure). in which neither group(A nor B) differed from the other statistically(p=1.0). Conclusion :When it comes to large idiopathic macular holes, both the inverted ILM flap technique and the autologous retinal transplant method work well. However, when it comes to large refractory macular holes, the inverted ILM flap technique tends to produce better functional outcomes. | ||||
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