# Viscoat-Assisted-Inverted-Internal-Limiting-Membrane-Flap-Technique-for-Large-Macular-Holes-8283062.f1

Video clips demostating the basic procedure of the Viscoat assisted single-layered inverted internal limiting membrane (ILM) flap technique. The vitreous is excised with the assistance of Triamcinolone acetonide. Viscoat® (Alcon Laboratories, Fort Worth, Texas, USA) is injected into the MH before applying the 0.125% Indocyanine green (ICG) solution to the posterior pole. Excessive ICG and Viscoat is removed by suction.The ILM is peeled off in a circular fashion for approximately 2.5 disc diameters around the MH. The inferior ILM is completely peeled off while the superior ILM flap is inverted using the intraocular forceps to cover the whole MH. Supplementary Viscoat is applied on top of the inverted ILM flap as ballast before air-fluid exchange is performed.

- Kind: Short
- Year: 2016
- Runtime: 1 min
- By: Song Z, Li M, Liu J, Hu X, Hu Z, Chen D
- Archive: [Wikimedia Commons](https://commons.wikimedia.org/wiki/File:Viscoat-Assisted-Inverted-Internal-Limiting-Membrane-Flap-Technique-for-Large-Macular-Holes-8283062.f1.ogv)
- Licence or status: [CC BY 3.0](https://creativecommons.org/licenses/by/3.0) (as the archive states it)
- Credit: Song Z, Li M, Liu J, Hu X, Hu Z, Chen D
- Who can watch: Teens profiles and older (the archive gives no rating; placed by Invisible Network from its collection and subjects)

[Watch now](https://invisiblenetwork.ai/watch/archive/commons/48051813?play=1)