EVALUATION OF VISUAL OUTCOME AFTER MACULAR HOLE SURGERY BY INVERTED INTERNAL LIMITING MEMBRANE PEELING TECHNIQUE

Abstract

Background- Michalewska et al. in 2010 suggested inverted ILM ap technique for management of large macular holes. The present study was conducted to evaluate the visual outcome after macular hole surgery by the inverted internal limiting membrane peeling technique. The present study was conducted as a prospe Methodology- ctive observational study at a tertiary eye care center, Bhopal, Madhya Pradesh on patients presenting with macular hole. Their sociodemographic details were obtained including age and sex and entered in proforma. Clinical history regarding mode of presentation, eye involved, comorbid condition, etc. was documented. All the patients were then subjected to detailed ocular examination. Their visual acuity was noted preoperatively. Following this, the patients were subjected to surgery via the inverted ILM peeling technique. Visual acuity was assessed postoperatively and improvement in visual acuity postoperatively was noted. PPV with inverted ILM peeling with C3F8 with endolaser was the most c Results- ommon procedure done. Visual acuity improved signicantly postoperatively following the procedure. Inverted ILM peeling Conclusions- ap technique is effective in management of macular holes irrespective of their size and grades. ILM ap technique helps in signicant improvement in visual acuity. A large prospective multicentric study with longer follow up duration is recommended to conrm the long-term efcacy of inverted ILM ap technique.