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Full Thickness Macular Hole Closure after Exchanging Silicone-Oil Tamponade with C(3)F(8) without Posturing.

Xirou T, Xirou V, Mangouritsas G, Feretis E, Kabanarou SA - Case Rep Ophthalmol (2011)

Bottom Line: However, the macula hole was still flat opened four months postoperatively.No face-down position was advised postoperatively due to her health problems.In our case, the use of a long-acting gas (C(3)F(8) 14%), even without posturing, proved to be more effective.

View Article: PubMed Central - PubMed

Affiliation: Retina Department, Hellenic Red Cross General Hospital, Athens, Greece.

ABSTRACT

Purpose: To report a case of macular hole closure after the exchange of a silicone-oil tamponade with gas C(3)F(8) 14%.

Method: A 64-year-old female patient with a stage IV macular hole underwent a three-port pars-plana vitrectomy and internal limiting membrane peeling. Due to the patient's chronic illness (respiratory problems), a silicone-oil tamponade was preferred. However, the macula hole was still flat opened four months postoperatively. Therefore, the patient underwent an exchange of silicone oil with gas C(3)F(8) 14%. No face-down position was advised postoperatively due to her health problems.

Results: Macular hole closure was confirmed with optical coherence tomography six weeks after exchanging the silicone oil with gas.

Conclusions: Macular hole surgery using a silicone-oil tamponade has been proposed as treatment of choice for patients unable to posture. In our case, the use of a long-acting gas (C(3)F(8) 14%), even without posturing, proved to be more effective.

No MeSH data available.


Related in: MedlinePlus

OCT examination shows a stage IV macular hole with intraretinal fluid.
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Figure 1: OCT examination shows a stage IV macular hole with intraretinal fluid.

Mentions: A 64-year-old female patient was referred to our clinic with complaints of a gradual deterioration of vision in her left eye over the last six months. On initial examination, Snellen visual acuity was 0.9 in her right eye and 0.1 in her left eye. Slit-lamp biomicroscopy revealed no pathology in the anterior segment. Dilated fundus examination showed a normal fundus in her right eye, but revealed a macular hole in her left eye. Optical coherence tomography (OCT) confirmed the presence of a stage IV macular hole (fig. 1). The patient had undergone an uneventful cataract surgery with intraocular lens implantation in both eyes the previous year.


Full Thickness Macular Hole Closure after Exchanging Silicone-Oil Tamponade with C(3)F(8) without Posturing.

Xirou T, Xirou V, Mangouritsas G, Feretis E, Kabanarou SA - Case Rep Ophthalmol (2011)

OCT examination shows a stage IV macular hole with intraretinal fluid.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC3104863&req=5

Figure 1: OCT examination shows a stage IV macular hole with intraretinal fluid.
Mentions: A 64-year-old female patient was referred to our clinic with complaints of a gradual deterioration of vision in her left eye over the last six months. On initial examination, Snellen visual acuity was 0.9 in her right eye and 0.1 in her left eye. Slit-lamp biomicroscopy revealed no pathology in the anterior segment. Dilated fundus examination showed a normal fundus in her right eye, but revealed a macular hole in her left eye. Optical coherence tomography (OCT) confirmed the presence of a stage IV macular hole (fig. 1). The patient had undergone an uneventful cataract surgery with intraocular lens implantation in both eyes the previous year.

Bottom Line: However, the macula hole was still flat opened four months postoperatively.No face-down position was advised postoperatively due to her health problems.In our case, the use of a long-acting gas (C(3)F(8) 14%), even without posturing, proved to be more effective.

View Article: PubMed Central - PubMed

Affiliation: Retina Department, Hellenic Red Cross General Hospital, Athens, Greece.

ABSTRACT

Purpose: To report a case of macular hole closure after the exchange of a silicone-oil tamponade with gas C(3)F(8) 14%.

Method: A 64-year-old female patient with a stage IV macular hole underwent a three-port pars-plana vitrectomy and internal limiting membrane peeling. Due to the patient's chronic illness (respiratory problems), a silicone-oil tamponade was preferred. However, the macula hole was still flat opened four months postoperatively. Therefore, the patient underwent an exchange of silicone oil with gas C(3)F(8) 14%. No face-down position was advised postoperatively due to her health problems.

Results: Macular hole closure was confirmed with optical coherence tomography six weeks after exchanging the silicone oil with gas.

Conclusions: Macular hole surgery using a silicone-oil tamponade has been proposed as treatment of choice for patients unable to posture. In our case, the use of a long-acting gas (C(3)F(8) 14%), even without posturing, proved to be more effective.

No MeSH data available.


Related in: MedlinePlus