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Fundus photography and optical coherence tomography were evaluated. The pre- and postoperative best-corrected visual acuities (BCVAs) and BCVA improvement were compared between the two groups.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The MH closure rates after initial surgery were similar in the ILM flap group and ILM flap with ABC group [40 (87%) vs. 29 (85%) eyes, respectively]. The proportion of eyes with hyperreflective bridging tissue (HBT) was lower in the ILM flap group than ILM flap with ABC group [13 (32%) vs. 16 (55%) eyes, <jats:italic>P<\/jats:italic>\u2009=\u20090.060]. The postoperative improvement in BCVA was significantly better in the ILM flap group (<jats:italic>P<\/jats:italic>\u2009=\u20090.027). Multiple linear regression analysis revealed that preoperative BCVA was positively associated with postoperative improvement in BCVA (\u03b2\u2009=\u20090.638, <jats:italic>P<\/jats:italic>\u2009=\u20090.000), while the ILM flap with ABC technique was negatively associated with postoperative improvement in BCVA (\u03b2\u2009=\u2009\u2009\u2212\u20090.299, <jats:italic>P<\/jats:italic>\u2009=\u20090.039, adjusted r<jats:sup>2<\/jats:sup>\u2009=\u20090.415).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>The inverted ILM flap technique alone resulted in better foveal configurations and visual outcomes than the ILM flap technique combined with ABC in patients with MHRD.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40662-024-00417-x","type":"journal-article","created":{"date-parts":[[2025,1,2]],"date-time":"2025-01-02T02:32:29Z","timestamp":1735785149000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Comparison of the inverted internal limiting membrane flap technique without versus with an autologous blood clot for treating macular hole-associated retinal detachment"],"prefix":"10.1186","volume":"12","author":[{"given":"Ke","family":"Zhu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yingchao","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Boya","family":"Lei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ling","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanqiong","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qing","family":"Chang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gezhi","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-3231-0918","authenticated-orcid":false,"given":"Yingqin","family":"Ni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,1,2]]},"reference":[{"issue":"8","key":"417_CR1","doi-asserted-by":"publisher","first-page":"1525","DOI":"10.1097\/IAE.0b013e3182411cb8","volume":"32","author":"J Nadal","year":"2012","unstructured":"Nadal J, Verdaguer P, Canut MI. 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