Inverted epiretinal proliferation flap with internal limiting membrane preservation for myopic macular hole retinal detachment: a case report
- 1Xiamen Eye Center and Eye Institute of Xiamen University, School of Medicine, Xiamen, Fujian, China
- 2Zherong County Hospital, Ningde, Fujian, China
Abstract
In this case report, we describe a 52-year-old woman with high myopia presented with a macular hole retinal detachment for 5 months. Fundus examination showed a full-thickness macular hole with localized retinal detachment, accompanied by both superior and inferior posterior scleral staphylomas. Spectral-domain optical coherence tomography confirmed a large full-thickness macular hole with associated epiretinal proliferation. She underwent 27-gauge vitrectomy using an inverted epiretinal proliferation flap technique without internal limiting membrane peeling, followed by gas tamponade. Postoperatively, the retina was reattached and the macular hole was closed. Best-corrected visual acuity improved from hand motions to 20/200. At the 12-month final follow-up, BCVA remained stable at 20/200, with no evidence of hole reopening or recurrent retinal detachment. This case demonstrates that inverted epiretinal proliferation (ERP) flap with internal limiting membrane (ILM) preservation may represent a feasible tissue-preserving reconstructive strategy for selected patients with myopic macular hole retinal detachment (MHRD) when sufficient ERP is present.
Related
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BibTeX
@article{zhong2026inverted,
title = {{Inverted epiretinal proliferation flap with internal limiting membrane preservation for myopic macular hole retinal detachment: a case report}},
author = {Zhi Zhong and Zhi Zhong and Shuxin Cai and Haibo Li},
journal = {Frontiers in Ophthalmology},
year = {2026},
month = oct,
doi = {10.3389/fopht.2026.1960225},
url = {https://doi.org/10.3389/fopht.2026.1960225},
note = {CC BY},
}
RIS
TY - JOUR
TI - Inverted epiretinal proliferation flap with internal limiting membrane preservation for myopic macular hole retinal detachment: a case report
AU - Zhi Zhong
AU - Zhi Zhong
AU - Shuxin Cai
AU - Haibo Li
PY - 2026
DA - 2026/10/26
JO - Frontiers in Ophthalmology
DO - 10.3389/fopht.2026.1960225
UR - https://doi.org/10.3389/fopht.2026.1960225
AB - In this case report, we describe a 52-year-old woman with high myopia presented with a macular hole retinal detachment for 5 months. Fundus examination showed a full-thickness macular hole with localized retinal detachment, accompanied by both superior and inferior posterior scleral staphylomas. Spectral-domain optical coherence tomography confirmed a large full-thickness macular hole with associated epiretinal proliferation. She underwent 27-gauge vitrectomy using an inverted epiretinal proliferation flap technique without internal limiting membrane peeling, followed by gas tamponade. Postoperatively, the retina was reattached and the macular hole was closed. Best-corrected visual acuity improved from hand motions to 20/200. At the 12-month final follow-up, BCVA remained stable at 20/200, with no evidence of hole reopening or recurrent retinal detachment. This case demonstrates that inverted epiretinal proliferation (ERP) flap with internal limiting membrane (ILM) preservation may represent a feasible tissue-preserving reconstructive strategy for selected patients with myopic macular hole retinal detachment (MHRD) when sufficient ERP is present.
SN - 2674-0826
ER -