Inverted flap in secondary myopic FTMH visco assisted cover technique скачать в хорошем качестве

Inverted flap in secondary myopic FTMH visco assisted cover technique

Inverted flap in secondary myopic FTMH: visco-assisted cover technique. Patient with high myopia, posterior staphyloma, betapapillary atrophy and peripheral retinoschisis. The patient was operated on November 2019 for retinal detachment, in another hospital, and treated with vitrectomy and oil that was removed 6 months later in May 2020. Few months later has been sent to our hospital for secondary full thickness myopic macular hole, 700 microns in diameter. Surgical technique: we stained the ILM with double lutein blue. The difference in this technique is that the ILM flap is folded on bubble of viscoelastic material injected on the hole. The maneuver can be easily manage under BSS, it’s not needed under AIR to keep the flap stable but difficult to manage, neither under PFCL that can be toxic. The adhesion between the inverted ILM and the viscoelastic allows the flap to remain in place during the fluid/air exchanges and in the post-op period, favoring the formation of the glial bridge between the edges of the hole, above the small visco bubble.