Internal Limiting Membrane Flap in the Management of Retinal Detachment due to Paracentral Retinal Breaks

Figure 1

A 67-year-old male patient (case 1) with shadow vision in the left eye for 1 week with a corrected visual acuity of 20/60. Primary rhegmatogenous retinal detachment (RRD) of the posterior pole of the left eye was noted at our clinic (a). The break was located within vascular arcade, near the inferior temporal vessel and well identified by preoperative optical coherence tomography (OCT, b). He underwent vitrectomy with inverted internal limiting membrane (ILM) flap technique, accompanied by 30% sulfur hexafluoride infusion. Two weeks postoperatively after the absorption of air, the retina was well attached (c). Magnified OCT showed that the break had sealed, the presence of the ILM flap, and absorption of the subretinal fluid (d). His visual acuity improved to 20/40 (see supplemental digital content of the video (available here)).

(a)

(b)

(c)

(d)