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¹Uz. Dr., Batıgöz göz sağlığı merkezi, Göz Hastalıkları, İzmir - Türkiye
²Uz. Dr., Bozyaka Eğitim ve Araştırma Hastanesi, Göz Hastalıkları, İzmir - Türkiye
³Uz. Dr., Van Eğitim ve Araştırma Hastanesi, Göz Hastalıkları, İzmir - Türkiye The aim of the study was to assess the role of inverted internal limiting membrane (ILM) fl ap and induced macular detachment (IMD) technique as a treatment option for recurrent, large, stage IV macular hole (MH). A 72-year-old woman with no previous injury or ophthalmic disease presented with large MH. Pars plana vitrectomy was performed once for the MH 6 months earlier. ILM peeling was performed during the previous surgery. The best-corrected visual acuity (BCVA) was fi nger counting at 2 meters in OD and 9/10 in OS. Macular hole diameter was 1114 ?m approximmately. Inverted ILM fl ap and IMD technique with 14% C3F8 gas tamponade was performed for the MH closure. Postoperative BCVA with the Snellen chart was 1/10. MH was successfully closed. Inverted ILM fl ap and IMD technique might contribute to closure of macular hole and may be considered as a treatment option for patients with recurrent and large MHs. Keywords : Induced macular detachment, internal limiting membrane, large macular hole