The incidence of macular hole following surgery for retinal detachment has been reported to be between 0.24% and 1.9%.
I decided to perform a modified inverted ILM flap technique.
Key points:
-The first thing I do is conserve the flap around the macular hole.
-It's important to make sure that the flap is attached to the edge of the macular hole only.
-Using a low vacuum (10-15) and low cut rate (100), I trim the flap to the size of the macular hole.
-During the fluid air exchange, you can reposition the flap by decreasing the intraocular pressure (15) and aspirating the liquid near the fovea in the direction you want the flap.
-REMEMBER NEVER TOUCH THE MACULAR HOLE.
-DO NOT TRY TO INSERT THE FLAP OR MASSAGE THE EDGES OF THE MACULAR HOLE.
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retinacentertijuana@gmail.com
We are located in Tijuana, Baja California:
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Tel. +52 1 6642003077, +52 1 6645919609
Ophthalmologist Tijuana, Baja California, Mexico
Retina and Vitreous Surgeon
Oftalmólogo Tijuana
Retinólogo Tijuana
