Pars Plana Vitrectomy with Internal Limiting Membrane Peeling in Traumatic Macular Hole: 14% Perfluoropropane (CF) Versus Silicone Oil Tamponade

Overview

Journal J Ophthalmol

Publisher Wiley

Specialty Ophthalmology

Date 2017 Aug 17

PMID 28811935

Citations 6

Authors

Ashraf Bori

Mahmoud A Al-Aswad

Ahmed Abdelwahab Saad

Dina Hamada

Ashraf Mahrous

Affiliations

Soon will be listed here.

Abstract

Purpose: To evaluate the outcome of 23 G PPV and ILM peeling with 14% CF compared with silicone oil tamponade in cases of TMHs without spontaneous closure.

Methods: A retrospective comparative study included 33 eyes with TMHs; 7 eyes healed spontaneously, and the remaining 26 eyes have been treated with PPV and ILM peeling. Silicone oil was used as a tamponade for children or adults who refused to adopt face-down position (10 cases). In all other cases (16 cases), 14% CF was used. These cases were followed up for 6 months postoperatively.

Results: 26 cases (22 males and 4 females) were reviewed, including 10 cases treated with silicone oil and 16 cases treated with 14% CF. Patients' age ranged from 9 to 54 years. The success rate was 90% in the silicone-filled (9/10) and 94% in the gas-filled (15/16) eyes. At 6 months, the mean BCVA was 0.3 ± 0.25 in the silicone group and 0.2 ± 0.13 in the gas group ( < 0.05).

Conclusions: Cases of TMHs should be observed for spontaneous closure. PPV with ILM peeling should be conducted for nonclosing cases. Gas and silicone oil tamponades are equally successful in anatomical and visual outcomes. This trial is registered with CTRI/2017/06/008765.

Citing Articles

Vitrectomy vs. Spontaneous Closure for Traumatic Macular Hole: A Systematic Review and Meta-Analysis.

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A structured exercise to relieve musculoskeletal pain caused by face-down posture after retinal surgery: a randomized controlled trial.

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Inverted Internal Limiting Membrane Flap Technique: Is It the Best Option for Macular Holes?.

Silva N, Ferreira A, Nawrocka Vel Michalewska Z, Meireles A Clin Ophthalmol. 2021; 15:3295-3303.

PMID: 34408388 PMC: 8360769. DOI: 10.2147/OPTH.S284614.

Results of Pars Plana Vitrectomy for Different Types of Macular Holes.

Ghoraba H, Leila M, Galal Zaky A, Wasfy T, Abdelfattah H, Elgemai E Clin Ophthalmol. 2021; 15:551-557.

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Traumatic Macular Hole: Diagnosis, Natural History, and Management.

Budoff G, Bhagat N, Zarbin M J Ophthalmol. 2019; 2019:5837832.

PMID: 31016038 PMC: 6444256. DOI: 10.1155/2019/5837832.

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