藤原 篤之
   Department     ,
   Position  
Article types 原著
Language English
Peer review Peer reviewed
Title Case report: successful closure of a large macular hole secondary to uveitis using the inverted internal limiting membrane flap technique.
Journal Formal name:BMC ophthalmology
Abbreviation:BMC Ophthalmol
ISSN code:14712415/14712415
Domestic / ForeginForegin
Volume, Issue, Page 15,83頁
Author and coauthor Hirano Masayuki, Morizane Yuki, Kawata Tetsuhiro, Kimura Shuhei, Hosokawa Mio, Shiode Yusuke, Doi Shinichiro, Hosogi Mika, Fujiwara Atsushi, Shiraga Fumio
Publication date 2015/07
Summary BACKGROUND:Macular holes (MHs) are one of the complications of posterior uveitis that can significantly disturb vision. Conventional MH surgery (vitrectomy, internal limiting membrane (ILM) peeling, and gas tamponade) has been reported to show lower closure rates in patients with MHs secondary to uveitis than in patients with idiopathic MHs. Recently, the inverted ILM flap technique has been reported to be effective for treating refractory MHs. Here, we describe the application of this technique in a patient with a large MH secondary to uveitis, and its successful closure.CASE PRESENTATION:An 80-year-old woman presented with a chronic, large MH secondary to uveitis. The minimum aperture diameter of the MH was 569 μm and extensive post-inflammatory chorioretinal atrophy was present, which included the juxtafoveal region. Vitrectomy with the inverted ILM flap technique assisted by low molecular weight hyaluronic acid was performed. Three days after surgery, the MH was closed successfully, without excessive gliosis.CONCLUSION:The inverted ILM flap technique may be the preferred surgical procedure for the treatment of large MHs secondary to uveitis.
DOI 10.1186/s12886-015-0072-5
PMID 26208719