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. 2016 Dec 16;11:9–14. doi: 10.2147/OPTH.S119762

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© 2017 Kase et al. This work is published and licensed by Dove Medical Press Limited

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Representative two cases (Case 1, A–D; Case 2, E–H) with old-large macular hole treated with pars plana vitrectomy and inverted internal limiting membrane (ILM) flap technique.

Notes: In Case 1, a 71-year-old female presents with Stage IV large macular hole (A), measuring a minimum diameter of 623 µm (B). During vitrectomy, the ILM is stained with brilliant blue G (BBG), which was placed within the hole (C, arrows). Macular hole is successfully closed 3 months after the surgery (D). In Case 2, a 70-year-old female presents with Stage III large macular hole (E), measuring a minimum diameter of 789 µm (F). In intraoperative findings, ILM-like membrane without staining with BBG was placed within the hole in the vitrectomy (G, arrows). The macular hole is successfully closed 3 months after the surgery (H) as shown in Case 1.