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Inverted internal limiting membrane (ILM) flap technique for macular hole closure: patient selection and special considerations

Authors Shroff D, Gupta P, Atri N, Gupta C, Shroff C

Received 22 November 2018

Accepted for publication 4 March 2019

Published 18 April 2019 Volume 2019:13 Pages 671—678

DOI https://doi.org/10.2147/OPTH.S163089

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Colin Mak

Peer reviewer comments 2

Editor who approved publication: Dr Scott Fraser


Daraius Shroff, Priyanka Gupta, Neelam Atri, Charu Gupta, Cyrus Shroff

Shroff Eye Centre, Vitreoretinal Services, New Delhi 110048, India

Abstract: This paper reviews the current status of the newer inverted internal limiting membrane flap technique for macular hole surgery. It gives an overview of the importance of patient selection and special considerations along with variations in technique. It discusses the pathophysiology and how the technique has been an important addition in the armamentarium of vitreoretinal surgeons to attain better anatomical as well as functional results in challenging situations.

Keywords: macular hole, inverted internal limiting membrane flap technique, optical coherence tomography

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