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  • Choroidal neovascularisation following inverted internal limiting membrane flap technique for idiopathic macular hole: a case for modified flaps

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Case report
Choroidal neovascularisation following inverted internal limiting membrane flap technique for idiopathic macular hole: a case for modified flaps
  1. Nikita Gupta,
  2. Aditi Mehta,
  3. Mohit Dogra and
  4. Simar Rajan Singh
  1. Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India
  1. Correspondence to Dr Simar Rajan Singh; simarrajansingh{at}gmail.com

Abstract

A 70-year-old woman presented with sudden decrease of vision 2 months following a successful vitrectomy with inverted internal limiting membrane flap for a full thickness macular hole. Serial review of fundus pictures and optical coherence tomography scans revealed a focal retinal pigment epithelial disruption at the site of the macular hole after surgery and a choroidal neovascular membrane arising from the same. This report describes the possible role of the surgical technique in causation of the membrane and discusses modifications to avoid the same.

  • Ophthalmology
  • Macula
  • Retina

https://doi.org/10.1136/bcr-2020-238604

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    Footnotes

    • NG and SRS contributed equally.

    • Contributors NG and SRS did the literature search and wrote the manuscript. AM and MD helped in primary management of the patient and imaging. All authors read and approved the final manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.