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. 2020 Jan 6;20:11. doi: 10.1186/s12886-019-1294-8

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© The Author(s). 2019

Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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Fig. 1 — A 61-year-old man presented with idiopathic large MH. a. Fundus photography before surgery. b. Baseline SD-OCT. The minimum diameter was 640 μm. Preoperative BCVA was 0.04. c. SD-OCT at 1 month postoperatively. Inverted ILM flap technique was performed, with a W-shape closure (irregular closure) of the MH. SD-OCT showed the foveal hyperreflective tissue corresponding to a coiling of the flap. Disruption of the EZ (between red arrowheads) remained. The ELM line was almost complete. BCVA was 0.16. d. Six months after surgery, SD-OCT showed a persistent W-shape closure of the MH with a wrapped flap. There was a complete restoration of the ELM and EZ lines. The BCVA increased to 0.5