Double flapping technique to close the macular hole.
Recently, it is agreed to close the macular hole with the retinal innermost layer; which is called internal limiting membrane (ILM), in most cases, the hole closes. But, sometimes the ILM single flap might displace resulting in a persistent hole. Therefore, the investigators tried to make two flaps utilizing ILM, and sometimes certain patients have a very thin membrane over the retina; it is called epiretinal membrane (ERM). The investigators use the double flapping technique by utilizing ERM; therefore, the ILM remains and can be used if the hole resists closing with the first surgical interventions. Here, the investigators did not use any new materials with unknown side effects on the human retina. Although the flap technique is well known; however, investigators are making a double flap to decrease the chance of persisting macular holes. The visual recovery will be appeared in the post-operative period, whether it is the same, better, or worse.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
20
Pars Plana Vitrectomy for Macular Hole Closure
Ibinsina Modern eye and retina center
Erbil, Iraq
Ocular coherence tomography
The closure of the hole can be assessed clearly
Time frame: The fourth week post-operatively
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