Gekka Tamaki, Watanabe Akira, Ohkuma Yasuhiro, Arai Kota, Watanabe Tomoyuki, Tsuzuki Akane, Tsuneoka Hiroshi
Ophthalmic Surg Lasers Imaging Retina. 2015 Nov-Dec;46(10):1045-6. doi: 10.3928/23258160-20151027-10.
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.
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.
There were no adverse events, and MHs were closed successfully in both study eyes.
The pedicle ILM flap transposition technique has the potential to improve functional and anatomical outcomes in patients with refractory MHs.
确定蒂状内界膜（ILM）转位瓣技术用于无法施行倒置ILM瓣技术的难治性黄斑裂孔（MH）的疗效。
通过经结膜微小切口玻璃体切除术施行蒂状ILM瓣转位技术。作者试图从MH下方剥离剩余的ILM以形成ILM瓣。该ILM仍附着于MH上方的视网膜并覆盖MH。最后进行液气交换。术后患者面朝下体位保持1周。该手术在两只眼中进行。
未发生不良事件，两只研究眼的MH均成功闭合。
蒂状ILM瓣转位技术有可能改善难治性MH患者的功能和解剖学预后。
