Dr. KSHITIZ KUMAR

Abstract

This surgical video elucidates the steps of modified “LHEP embedding technique” in the management of Degenerative Lamellar Macular Holes (LMH). Briefly post core vitrectomy, PVD induction and peripheral vitrectomy, lamellar hole-associated epiretinal proliferation (LHEP) was observed on the surface of the macula and re – confirmed as yellowish thick atypical ERM. Next BBG was used to stain the surrounding ILM. Centripetal peeling of LHEP around lamellar macular hole (LMH) was done to raise LHEP flaps. ILM peeling with creation of ILM flaps circumferentially around the LHEP flaps and LMH was done. Fluid air exchange performed with massaging of LHEP & ILM flaps to fill the LMH defect. The modified surgical technique of LHEP Embedding with ILM inversion is demonstrated to provide satisfactory results with reduced risk of complications for Degenerative LMH.