Reoperation with inverted ILM flap technique can lead to success after primary failure

FORT LAUDERDALE, Fla. — Reoperation with inverted internal limiting membrane flap technique after primary failure leads to successful macular hole closure and visual acuity improvement in most cases, according to one specialist.
The technique entails the creation of an internal limiting membrane (ILM) flap, obtained by peeling the membrane from the temporal side and reversing it to cover the macular hole (MH).
“During this surgery, we may encounter situations in which, during fluid-air exchange, the flap moves to its original place away from the fovea,” Zofia Nawrocka, MD,

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