Resumo

HERNANDEZ MARTINEZ, Rocío et al. Inverted internal limiting membrane flap technique in large macular hole. Rev Cubana Oftalmol [online]. 2020, vol.33, n.3  Epub 02-Nov-2020. ISSN 1561-3070.

Macular hole is a disorder of the vitreous-retina interface defined as a full-thickness defect from the internal limiting membrane to the external segments of photoreceptors which typically involves the fovea. The development of optical coherence tomography has improved the diagnosis, treatment and follow-up of vitreous-retina interface diseases, among them macular hole. Pars plana vitrectomy is the surgical technique of choice for macular hole. A case is presented of a female 75-year-old pseudophakic patient with best corrected right eye visual acuity of 0.1 on the Snellen chart. Large macular hole is diagnosed (810 µm) according to its minimum opening, of 8 month's evolution. The following procedures were performed: pars plana vitrectomy, posterior hyalode lifting, inverted internal limiting membrane flap, use of sulfur hexafluoride in a 20% mixture, and positioning of the patient for 24-72 hours. Anatomical closure of the macular hole and a visual recovery of 0.6 Snellen were achieved six months after surgery.

Palavras-chave : Macular hole; pars plana vitrectomy; inverted internal limiting membrane flap; internal limiting membrane peeling.

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