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

Figure 2

A 46-year-old highly myopic male patient (case 8) had a previous history of vitrectomy, internal limiting membrane (ILM) peeling, and semicircular ILM flap over the fovea for foveoschisis in his right eye. He developed retinal detachment over his right eye 2 months later (a). Preoperative optical coherence tomography (OCT) showed a small break located temporally within the posterior pole (b). After vitrectomy, an inverted ILM flap was made and inserted into the small break with 24% sulfur hexafluoride gas tamponade. The retina was found to be reattached 2 weeks later, and infrared autofluorescence imaging showed a hyperfluorescent spot of the ILM plug corresponding to the previous retinal break (c). Postoperative OCT confirmed ILM tissue at the site of the previous break (d).

(a)

(b)

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(d)