Fig. 2

Schematic drawing and intraoperative photographs of embedment of the lamellar hole-associated epiretinal proliferation (LHEP) combined with internal limiting membrane (ILM) inversion for the treatment of lamellar macular hole. Before the operation, LHEP was observed on the surface of the macula (arrows in a, e, and i). The LHEP was peeled centripetally toward the macula with intraocular forceps and left attached to the edge of the LMH (b, f, and j; arrows indicate LHEP). The peeled LHEP was trimmed to fit the size of the retinal cleavage, and the remnant LHEP was embedded into the retinal cleavage (c, g, and k; arrows indicate LHEP). We then inverted the ILM from upper to lower (arrow in d) so that the ILM completely covered the LMH with the embedded LHEP (d, h, and l; arrowheads indicate ILM and arrows in l indicate LHEP)