Author(s) Details:
Olufemi Oderinlo
Eye Foundation Hospital, 27 Isaac John Street, GRA Ikeja, Lagos, Nigeria.
Adekunle Olubola Hassan
Eye Foundation Hospital, 27 Isaac John Street, GRA Ikeja, Lagos, Nigeria.
Ogugua Okonkwo
Eye Foundation Hospital, 27 Isaac John Street, GRA Ikeja, Lagos, Nigeria.
This section is a part of the chapter: Inverted Flap Technique for Posttraumatic macula Hole Surgery in a Young Male Patient in Sub-Saharan Africa
Idiopathic MHs are caused by abnormal tangential vitreoretinal traction as opposed to anterior posterior traction hence surgical intervention has been tailored along this line (Gass, 1988, Johnson and Gass, 1998) In 1991, Kelly and Wendel were the first to describe a surgical approach to treat MHs, the rational of the surgery was the identification and treatment of vitreoretinal traction forces, along with the removal of the internal limiting membrane to facilitate retina mobility and hence closure (Oderinlo et al., 2020, Kelly and Wendel, 1991) Ever since, there have been various modifications to the technique improving anatomic closure rates and subsequently visual acuity improvements. Currently, most macular holes (around 85-90%) can be successfully closed using a procedure involving pars plana vitrectomy, dye-assisted internal limiting membrane peeling and gas tamponade (Tam et al., 2018). However, for certain types of holes like large MHs (defined as > 400 µm, according to the classification in the International Vitreomacular Traction Study), (Duker et al., 2018) longstanding MHs (>6 months), posttraumatic MHs, and those associated with myopia surgical failure are more common with closure rates as low as between 8 and 44% (Tam et al., 2018) in a recent report (Oderinlo et al., 2020).
How to Cite
Oderinlo, O., Hassan, A. O., & Okonkwo, O. (2025). Inverted Flap Technique for Posttraumatic macula Hole Surgery in a Young Male Patient in Sub-Saharan Africa. Medical Science: Trends and Innovations Vol. 4, 40–48. https://doi.org/10.9734/bpi/msti/v4/4157