Enhancing inverted internal limiting membrane flap stability in macular hole retinal detachment by the “viscoelastic agent pool” technique

To evaluate the surgical anatomical and functional results of "viscoelastic agent pool" technique-assisted stability of inverted internal limiting membrane (ILM) flap in macular hole retinal detachment (MHRD).The innovative surgical technique was carried out on 10 patients with MHRD. The primary outcomes included best corrected visual acuity (BCVA) after surgery, rate of closure of MH, retinal reattachment, and occurrence of complications.The mean age of the individuals was 67.70±8.75 (range, 55-84) years; mean axial length, 29.34±1.53 (range, 27.10-30.93) mm; mean corrected MH diameter, 685.30± 345.65 (range, 172-1325) μm; and average follow-up period, 6.01±1.71 (range, 3.10-8.4) months. In six eyes (60%), the postoperative BCVA showed improvement. All patients had MH closure, and the retinal reattachment rate was 100%. No postoperative complications were noted.The "Viscoelastic agent pool" technique, an innovative surgical approach designed to enhance the stability of the ILM flap, serves as an effective adjunctive procedure for the inverted ILM flap technique. It presents a viable option for patients with MHRD.