Ophthalmic Surg Lasers Imaging Retina. 2021 Dec;52(12):663-665. doi: 10.3928/23258160-20211126-01. Epub 2021 Dec 1.
We describe two cases with epiretinal membrane (ERM) from uncontrolled gliosis seen after multilayered inverted internal limiting membrane (ILM) flap technique for full thickness macular hole (FTMH). Two patients with FTMH who had undergone surgery with inverted ILM flap technique were examined by serial optical coherence tomography scans to evaluate the course of multilayered ILM flaps seen as foveal hyperreflective lesions postoperatively. We observed excessive uncontrolled gliosis over these hyperreflective ILM flaps with ERM formation, along with worsening metamorphopsia and best-corrected visual acuity. Case 1 underwent a repeat surgery for ERM. We report excessive uncontrolled gliosis as a rare complication of multilayered inverted ILM flap technique for FTMH. .
我们描述了两例在全层黄斑裂孔（FTMH）的多层反转内界膜（ILM）瓣技术后，由于不受控制的神经胶质增生引起的视网膜内膜（ERM）的病例。两名接受过反转 ILM 瓣技术手术的 FTMH 患者接受了连续光学相干断层扫描检查，以评估术后作为黄斑中心凹高反射病变的多层 ILM 瓣的过程。我们观察到这些高反射性 ILM 瓣上有过度的不受控制的神经胶质增生，伴有进行性的视物变形和最佳矫正视力下降。病例 1 因 ERM 进行了重复手术。我们报告了多层反转 ILM 瓣技术治疗 FTMH 的一种罕见并发症，即过度不受控制的神经胶质增生。
