Simultaneous presentation of idiopathic macular and posterior full-thickness retinal holes successfully treated with inverted internal limiting membrane flap technique

Claudio Iovino; Giuseppe Demarinis; Filippo Tatti; Enrico Peiretti

doi:10.1016/j.ajoc.2021.101070

Simultaneous presentation of idiopathic macular and posterior full-thickness retinal holes successfully treated with inverted internal limiting membrane flap technique

Am J Ophthalmol Case Rep. 2021 Mar 10:22:101070. doi: 10.1016/j.ajoc.2021.101070. eCollection 2021 Jun.

Authors

Claudio Iovino^{1

2}, Giuseppe Demarinis¹, Filippo Tatti¹, Enrico Peiretti^{1

3}

Affiliations

¹ Eye Clinic, Department of Surgical Science, University of Cagliari, Cagliari, Italy.
² Eye Clinic, Multidisciplinary Department of Medical, Surgical and Dental Sciences, University of Campania Luigi Vanvitelli, Naples, Italy.
³ Clinica Oculistica, San Giovanni di Dio Hospital, Azienda Ospedaliera Universitaria di Cagliari, Cagliari, Italy.

Abstract

Purpose: To report an unusual non-iatrogenic case of central macular and posterior full-thickness retinal holes (FTRHs).

Observations: A 60-year-old man presented with a progressive visual loss in the right eye. A complete ophthalmological evaluation including best corrected visual acuity (BCVA) measurement, fundus examination and spectral - domain optical coherence tomography (SD-OCT) was performed.Fundus examination and SD-OCT confirmed the presence of simultaneous macular and posterior FTRHs. A 25-gauge vitrectomy was performed and the internal limiting membrane (ILM) was grasped and peeled off around the two holes. A fragment of the peeled-off ILM anchored on the FTRHs edges was left and inserted into the gaps.Closure of both retinal holes was achieved at 1-month, and BCVA improved from 20/630 at baseline to 20/63 at month 3. No intraoperative or postoperative complications were recorded.

Conclusions and importance: Inverted ILM flap technique represents a good treatment option in this rare non-iatrogenic condition, allowing a good anatomical and functional recovery.

Keywords: Full thickness macular hole; Inverted flap technique; Posterior retinal hole; Vitreoretinal surgery.

Publication types

Case Reports