What does this research mean for the field?

The viscoelastic-assisted temporal inverted internal limiting membrane (ILM) flap technique achieves 100% macular hole closure and significant visual improvement using air as the sole tamponade agent, eliminating the need for gas endotamponade or postoperative head positioning. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To evaluate the anatomical and visual outcomes of macular hole surgery using a viscoelastic-supported temporal inverted ILM flap technique paired exclusively with air tamponade and no postoperative head positioning.

September 12, 2026Retina

Macular Hole Surgery With ILM Flap, Viscoelastic, and Air Tamponade Without Positioning

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Authors

SSSevim Ayça Seyyar OSOğuzhan Saygılı BBBurçak Balyemez

Discussion

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Overview

Clinical study demonstrates 100% macular hole closure using inverted ILM flaps with viscoelastic and air tamponade alone, indicating effective repair without post-surgery face-down positioning.

Key Points

To evaluate the anatomical and visual outcomes of macular hole surgery using a viscoelastic-supported temporal inverted ILM flap technique paired exclusively with air tamponade and no postoperative head positioning.
Analyzed 78 eyes of 71 patients undergoing macular hole surgery with a temporal ILM flap inverted using perfluorocarbon liquid.
Injected a dispersive viscoelastic agent over the inverted flap under air tamponade without subsequent gas exchange or instructions for postoperative prone head positioning.
Achieved a 100% macular hole closure rate (78 of 78 eyes) following a single operation, with closure contours presenting as U-shaped (82.1%), V-shaped (14.1%), or W-shaped (3.8%).
Demonstrated statistically significant postoperative visual acuity improvement (p < 0.001) without significant alterations in intraocular pressure (p = 0.057).

Cite This Study

Seyyar et al. (2026) studied this question.

synapsesocial.com/papers/6aa51f60327956e4761f99f5 https://doi.org/10.1097/iae.0000000000005010

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September 12, 2026Retina

Macular Hole Surgery With ILM Flap, Viscoelastic, and Air Tamponade Without Positioning

View Full Paper

Ask AI

Bookmark

Authors

SSSevim Ayça Seyyar OSOğuzhan Saygılı BBBurçak Balyemez

Discussion

Member takes

Overview

Clinical study demonstrates 100% macular hole closure using inverted ILM flaps with viscoelastic and air tamponade alone, indicating effective repair without post-surgery face-down positioning.

Key Points

To evaluate the anatomical and visual outcomes of macular hole surgery using a viscoelastic-supported temporal inverted ILM flap technique paired exclusively with air tamponade and no postoperative head positioning.
Analyzed 78 eyes of 71 patients undergoing macular hole surgery with a temporal ILM flap inverted using perfluorocarbon liquid.
Injected a dispersive viscoelastic agent over the inverted flap under air tamponade without subsequent gas exchange or instructions for postoperative prone head positioning.
Achieved a 100% macular hole closure rate (78 of 78 eyes) following a single operation, with closure contours presenting as U-shaped (82.1%), V-shaped (14.1%), or W-shaped (3.8%).
Demonstrated statistically significant postoperative visual acuity improvement (p < 0.001) without significant alterations in intraocular pressure (p = 0.057).

Cite This Study

Seyyar et al. (2026) studied this question.

synapsesocial.com/papers/6aa51f60327956e4761f99f5 https://doi.org/10.1097/iae.0000000000005010

View Full Paper

Ask AI

Bookmark