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Temporal and double inverted internal limiting membrane flap for bilateral choroidal ruptures complicated by bilateral macular holes


1 Department of Ophthalmology, Eye Center, China Medical University Hospital, China Medical University, Taichung, Taiwan
2 Department of Ophthalmology, Eye Center, China Medical University Hospital; School of Medicine, College of Medicine, China Medical University; Department of Optometry, Asia University, Taichung, Taiwan
3 Department of Ophthalmology, Eye Center, China Medical University Hospital, China Medical University, Taichung, Taiwan; Byers Eye Institute, Stanford University School of Medicine, Stanford, CA, USA
4 Department of Ophthalmology, Eye Center, China Medical University Hospital; Graduate Institute of Clinical Medical Science, College of Medicine, China Medical University, Taichung, Taiwan

Correspondence Address:
Chun-Ju Lin,
Department of Ophthalmology, 2 Yuh-Der Road, Taichung City 40447
Taiwan
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/tjo.tjo_20_22

Choroidal ruptures occur in 5% to 10% closed-globe injuries with wide variation in visual prognosis, which depending on the visual acuity at presentation, the location of the rupture, and other associated ocular injuries. We reported a case of bilateral traumatic choroidal rupture with a large macular hole. We performed surgery in the right eye of microincisional vitrectomy, temporally inverted internal limiting membrane (ILM) flap, and C3F8 tamponade; then microincisional vitrectomy, fibrotic scar removal, double inverted ILM flap, and C3F8 tamponade in the left eye. After surgery, she achieved both good anatomical and visual acuity improvement in the right eye, but limited visual acuity improvement in the left eye due to subfoveal choroidal scar formation.


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