Medical Park Ankara Hospital, Ankara, Türkiye.
Private Eye Clinic, Ankara, Türkiye.
Turk J Ophthalmol. 2023 Apr 20;53(2):130-135. doi: 10.4274/tjo.galenos.2022.04828.
Here we report three cases of flap-related complications following temporal inverted internal limiting membrane (ILM) flap technique for the repair of macular holes (MH). The first case showed a flap closure pattern in which the MH completely closed at 2 months spontaneously. The second case showed early anatomical and functional improvement provided by an immediate closure of the MH but developed flap contracture and nasally located epiretinal membrane (ERM) at postoperative 18 months. There was no functional deterioration, thus no further intervention was required. In the third case, early postoperative flap dislocation was observed and an additional surgery to reposition the flap was needed. The flap closure pattern observed with inverted ILM flap techniques may represent the ongoing healing process of large MHs and may be related to delayed spontaneous anatomical closure. ILM flap contracture and ERM formation may be a harmless long-term complication. Dislocation of the ILM flap is an unexpected early postoperative complication that may necessitate a second surgery for flap repositioning.
我们在此报告三例与颞侧翻转内界膜（ILM）瓣技术相关的 flap 相关并发症，这些并发症发生于黄斑裂孔（MH）的修复。第一个病例表现为 flap 关闭模式，其中 MH 在 2 个月时自发完全闭合。第二个病例表现为 MH 立即闭合所提供的早期解剖和功能改善，但在术后 18 个月时出现 flap 挛缩和鼻侧视网膜内膜（ERM）。功能没有恶化，因此不需要进一步干预。第三个病例观察到术后早期 flap 脱位，需要进行额外手术以重新定位 flap。翻转 ILM 瓣技术观察到的 flap 关闭模式可能代表大型 MH 持续愈合的过程，可能与延迟自发解剖闭合有关。ILM flap 挛缩和 ERM 形成可能是一种无害的长期并发症。ILM flap 脱位是一种意外的术后早期并发症，可能需要进行第二次手术以重新定位 flap。
