Karabas Levent, Tokuç Ecem Önder, Seyyar Sevim Ayça, Şahin Özlem
Department of Ophthalmology, School of Medicine, Kocaeli University, Kocaeli, Turkey.
Department of Ophthalmology, School of Medicine, Gaziantep University, Gaziantep, Turkey.
J Ophthalmic Vis Res. 2025 May 5;20. doi: 10.18502/jovr.v20.14516. eCollection 2025.
The temporal inverted internal limiting membrane (ILM) flap technique was developed to improve vitreoretinal surgery for large macular holes (MH). However, in addition to the difficulty of the surgical procedure, the main concern is the displacement of the ILM flap due to small fluid leakage into the posterior pole, even in the short time required to close the sclerotomies after fluid-air exchange. A new approach to the temporal inverted ILM flap technique is described here. In this approach, when the ILM flap is inverted over the MH, ILM forceps, while it is closed, are gently pressed over the folded edge and passed over (just like folding a paper in half), creating an ILM fold mark like the ones used in origami. Thus, it can be seen that the minimal fluid leaking into the posterior pole ventilates the free edge of the flap, but the force formed along the folded edge prevents the flap turnover.
颞侧倒置内界膜（ILM）瓣技术的开发是为了改进针对大黄斑裂孔（MH）的玻璃体视网膜手术。然而，除了手术操作难度外，主要问题是即使在液气交换后关闭巩膜切口所需的短时间内，由于少量液体渗漏到后极部，ILM瓣也会发生移位。本文介绍了一种颞侧倒置ILM瓣技术的新方法。在这种方法中，当ILM瓣在MH上方倒置时，关闭的ILM镊在折叠边缘上轻轻按压并越过（就像将纸对折一样），形成一个类似折纸中使用的ILM折叠痕迹。因此，可以看出，少量渗漏到后极部的液体为瓣的自由边缘提供了通气，但沿折叠边缘形成的力可防止瓣翻转。
