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Iatrogenic Double Macular Hole - Successful Closure using inverted Internal Limiting Membrane Flap Technique
Feb 1, 2017
Case Report : A 79-year-old female was referred to the Ophthalmology Department due to reduced visual acuity after ineffective surgery of full thickness macular hole (FTMH). 25 gauge pars plana core vitrectomy (PPV) was performed with internal limiting membrane (ILM) peeling and SF6 gas endotamponade. The best corrected visual acuity (BCVA) was 0.1 (Snellen chart). Postoperative optical coherence tomography (OCT) revealed two full-thickness macular holes. The first one of central location 825 ?m in based diameter, and the second of nasal location 575 ?m in based diameter (Figures 1A and 1B). For this reason the patient was qualified for another 25G posterior vitrectomy.
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