case_images: PMC10846875_01
case_images: Preoperative optical coherence tomography (OCT) images of the patient's left eye. a and b display horizontal and vertical scans, respectively, showing the presence of a full-thickness macular hole (FTMH). c depicts a wide-field OCT image, clearly demonstrating the thick posterior vitreous membrane (PVM) attached to the edge of the FTMH and the optic disc.
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case_images: F1
case_images: Optical coherence tomography of the left eye displayed a large FTMH along with a thickened PVM (Fig. 1).
case_images: a Preoperative fundus photography of the left eye, demonstrating FTMH (white arrow), accompanied by proliferative vitreoretinopathy and linearized retinal vessels, indicative of familial exudative vitreoretinopathy (FEVR). b Preoperative ultra-wide field fundus photography of the left eye, demonstrating retinal capillary hemangioma in the lower temporal area (white arrow).
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case_images: F2
case_images: Fundus photography of the left eye demonstrated proliferative vitreoretinopathy and linearized retinal vessels, indicative of FEVR (Fig. 2a). Retinal capillary hemangioma was also observed in the lower temporal area (Fig. 2b).
case_images: Preoperative imaging of the left eye, utilizing optical coherence tomography angiography (OCTA; a) and fluorescein angiography (FA; b: early phase, c: late phase), demonstrates linearized retinal vessels, an avascular region, and exudative alterations on the temporal side.
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case_images: F3
case_images: Optical coherence tomography angiography and fluorescein angiography of the left eye revealed the presence of linearized retinal vessels and an avascular area accompanied by exudative changes, predominantly located on the temporal side (Fig. 3).
case_images: Intraoperative findings of the patient's left eye. a The thick PVM and a thin epiretinal membrane (ERM) around the FTMH was removed. b After brilliant blue G staining of the inner limiting membranes (ILMs), we employed the inverted ILM flap technique considering the size of the FTMH.
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case_images: F4
case_images: A thin ERM was also identified around the FTMH (Fig. 4a). The inverted ILM flap technique was employed (Fig. 4b), succeeded by a fluid-air exchange and a 20% SF6 gas tamponade.
case_images: Postoperative OCT images of the left eye at 1 week and 3 months, demonstrating successful closure of the FTMH. a, b OCT scans at 1-week postoperative period. The inverted ILM flap is clearly visible. a represents a horizontal scan while b shows a vertical scan. c, d OCT scans at 3 months postoperative period. Note the improved structural integrity of the external limiting membrane and the ellipsoid zone compared to the 1-week postoperative images. c depicts a horizontal scan and d exhibits a vertical scan.
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case_images: F5
case_images: The postoperative course was favorable, with successful closure of the FTMH evident at 1-week follow-up (Fig. 5a and b). At the 3-month postoperative mark, further improvement was observed, with the FTMH remaining closed, and enhanced structural integrity of the external limiting membrane and the ellipsoid zone compared to the 1-week postoperative assessment (Fig. 5c, d).
case_images: Ultra-wide field fundus photography of the left eye, 3 months postoperative, demonstrating closed FTMH.
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case_images: F6
case_images: The closure of the macular hole was also confirmed in the ultra-wide field fundus photography 3 months later (Fig. 6).