Partial Detachment of an ILM Inverted Flap After a Successful Closure of a Full-Thickness Traumatic Macular Hole.

IF 0.7 Q3 MEDICINE, GENERAL & INTERNAL

International Medical Case Reports Journal Pub Date : 2024-12-12 eCollection Date: 2024-01-01 DOI:10.2147/IMCRJ.S495427

Abdulaziz A Al Taisan

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引用次数: 0

Abstract

Purpose: To report a case of partial detachment of an inverted internal limiting membrane (ILM) flap following a successful closure of a full-thickness traumatic macular hole.

Observations: A 24-year-old male patient presented with a history of a blunt trauma and a full-thickness macular hole. Visual acuity was (20/50) then deteriorated to (20/100) prior to surgery. He underwent pars plana vitrectomy with an inverted ILM flap and gas tamponade. Postoperatively, successful closure of the hole was noted with a visible hinged ILM flap observed over the retina in optical coherence tomography (OCT). Three months later, the patient presented with a complaint of a central floater. Visual acuity was (20/30) and a partially detached ILM flap was noted in the OCT.

Conclusions and importance: Inverted ILM flap might detach from the retinal surface after gas resolution and successful closure of a full-thickness macular hole.

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目的：报告一例成功闭合全厚外伤性黄斑孔后倒置内缘膜（ILM）瓣部分脱落的病例：一名 24 岁的男性患者因钝性外伤和全厚黄斑孔就诊。手术前视力为（20/50），后恶化至（20/100）。他接受了平面玻璃体旁切除术，并做了倒置的ILM瓣和气体填塞。术后，通过光学相干断层扫描（OCT）在视网膜上观察到一个可见的铰链状ILM瓣，成功地关闭了洞口。三个月后，患者主诉出现中心漂浮物。视力为（20/30），在光学相干断层扫描（OCT）中发现了部分脱落的ILM瓣：倒置的ILM瓣可能会在气体消散并成功闭合全厚黄斑孔后从视网膜表面脱落。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Medical Case Reports Journal MEDICINE, GENERAL & INTERNAL-

CiteScore

1.40

自引率

0.00%

发文量

135

审稿时长

16 weeks

期刊介绍： International Medical Case Reports Journal is an international, peer-reviewed, open access, online journal publishing original case reports from all medical specialties. Submissions should not normally exceed 3,000 words or 4 published pages including figures, diagrams and references. As of 1st April 2019, the International Medical Case Reports Journal will no longer consider meta-analyses for publication.