Evidence map›Paper›PMID 40327747›Full record

ArticleRetina (Philadelphia, Pa.)2025

An Innovative Pear Flower Petal-Shaped Inverted Internal Limiting Membrane Flap Technique for Macular Holes with or Without Retinal Detachment-There is Always a Flap That Works for You.

Han Sun, Yan Cheng, Zaoxia Liu, Xiaomeng Zhang, Hong Wu

Abstract read
In one paragraph

Article in Retina (Philadelphia, Pa.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Han SunDepartment of Ophthalmology, The Second Hospital of Jilin University, Changchun, China.
Yan ChengDepartment of Ophthalmology, The Second Hospital of Jilin University, Changchun, China.
Zaoxia LiuDepartment of Ophthalmology, The Second Hospital of Jilin University, Changchun, China.
Xiaomeng ZhangDepartment of Ophthalmology, The Second Hospital of Jilin University, Changchun, China.
Hong WuDepartment of Ophthalmology, The Second Hospital of Jilin University, Changchun, China.ORCID 0000-0002-7373-860

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo introduce a modified, effective, and versatile inverted internal limiting membrane flap technique, providing a novel option for the treatment of macular holes, with or without retinal detachment.

methodsWe conducted a retrospective analysis of 20 patients (20 eyes) with macular holes who underwent pars plana vitrectomy using the pear flower petal-shaped inverted internal limiting membrane flap technique. Best-corrected visual acuity, optical coherence tomography, and morphological assessments were performed at baseline and during each postoperative follow-up visit.

resultsPostoperative macular holes closure and retinal reattachment rates were both 100%. The baseline best-corrected visual acuity was logMAR 1.892 ± 0.495, which significantly improved to logMAR 0.968 ± 0.348 at the final follow-up ( P < 0.001). Optical coherence tomography imaging demonstrated favorable postoperative retinal microstructural recovery, with a healing process highly similar to that observed in spontaneous closures.

conclusionThis novel technique promotes anatomical and functional recovery in patients with macular holes, with or without retinal detachment, resembling the natural healing process. It serves as a remedial measure in case of intraoperative complications, offering a simple and flexible approach, ensuring that there is always a suitable flap for each situation.

Indexed as

Basement MembraneRetinal DetachmentRetinal PerforationsSurgical FlapsVitrectomyAgedEndotamponadeFemaleFollow-Up StudiesHumansMaleMiddle AgedRetrospective StudiesTomography, Optical CoherenceVisual Acuityhigh myopiainternal limiting membrane peelinginverted flapmacular holemicrostructural changespear flower petal–shaped flapretinal detachmentvisual acuity

Identifiers

PMID40327747
PMCPMC12548820

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.