How to handle ILM easily during the macular hole surgery: Infusion off technique for ILM free flap and infusion direction manipulation technique for inverted ILM flap

Author: Jee Myung Yang (Korea, Republic of)

Co-authors: June-Gone Kim, Chan Hong Min

Purpose

To introduce an effective and easy way to handle internal limiting membrane (ILM) during the temporal inverted ILM flap and ILM free flap technique by controlling the infusion.

Setting/Venue

Surgical video

Methods

ON/OFF status of the infusion was controlled during the ILM free flap surgery. Negative pressure, which was formed around the head-shaft junction of the forceps were released. The direction of the Infusion cannula was changed during the inverted ILM flap surgery to stabilize the location of the flap.

Results

Two cases of ILM free flap surgery using infusion off technique were demonstrated. Flap stayed stable during the infusion off technique. Another two cases of temporal inverted ILM flap surgery were presented. The location of the temporal ILM flap was flipped and stayed stable, covering the macular hole during the air-fluid exchange procedure.

Conlusions

Infusion OFF technique and infusion direction manipulation technique is an efficient method to control ILM during the macular hole surgery.

Financial Disclosure

We have no financial relations.