Comparative Study between Pars Plana Vitrectomy with Internal Limiting Membrane Peel and Pars Plana Vitrectomy with Internal Limiting Membrane Flap Technique for Management of Traumatic Full Thickness Macular Holes

Figure 1

(a) Color photo of the left eye of a 16-year-old male patient. The patient sustained blunt trauma to the left eye with a brick approximately 12 months earlier. His BCVA was 0.05 Snellen. The posterior pole showed a large FTMH approximately 2/3 DD (white arrow). Note the area of diffuse RPE mottling with RPE pigment clumps in the superior vicinity of the hole denoting the chronic course (white arrowheads). (b) High-definition 5-line raster OCT image of the same eye showed large FTMH with MLD 808 µm. Note the cystic thickening at the edges of the hole. (c) Color photo of the same eye approximately 6 weeks after PPV and IFT, showing successful hole closure (white arrow). His final BCVA was 0.2 Snellen. (d) High-definition 5-line raster OCT image postoperatively showing U-type closure. The ELM and IS/OS were not restored. Note the curled edge of the ILM flap (white arrow).

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