@article{Shakya_Pokhrel_Malla_2019, title={Outcomes of Inverted Internal Limiting Membrane Flap Technique for Large Idiopathic Macular Holes Surgery in Patients at A Tertiary Care Hospital}, volume={57}, url={http://www.jnma.com.np/jnma/index.php/jnma/article/view/4393}, DOI={10.31729/jnma.4393}, abstractNote={<p><strong>Introduction</strong>: Large macular holes cause significant reduction in central visual acuity. The aim of<br>the study is to find out short term anatomical and visual outcomes of inverted internal limiting<br>membrane flaps technique for large macular holes (base diameter>1000μm) surgery in patients<br>at a tertiary care hospital.</p> <p><br><strong>Methods</strong>: A descriptive cross-sectional study was conducted in a tertiary care hospital from<br>January 2018 to December 2018 after ethical clearance from the institutional review committee.<br>The study was done in 12 patients with idiopathic macular holes (base diameter>1000μm), they<br>were repaired with 25 gauge pars plana vitrectomy with brilliant blue assisted large inverted<br>internal limiting membrane flap technique. Statistical analyses were performed using SPSS 19.0.</p> <p><br><strong>Results</strong>: All twelve eyes had complete anatomical closure. Mean best corrected visual<br>acuity preoperatively was 1.48 logMAR±0.246. The mean macular hole base diameter was<br>1217.0±196.77μm. The mean age of patients was 68.75±4.97 years. Postoperatively,<br>mean best corrected visual acuity was 0.978 logMAR±0.12. There were no postoperative<br>complications. All the patients perceived decreased size of central scotoma.</p> <p><br><strong>Conclusions</strong>: Inverted internal limiting membrane flaps for large macular holes is suitable method<br>for closure of the very large hole, restoration of functional vision and decreased size of central<br>scotoma.</p>}, number={217}, journal={Journal of Nepal Medical Association}, author={Shakya, Kiran and Pokhrel, Ram Prasad and Malla, Om Krishna}, year={2019}, month={Jun.} }