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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 imaging showing macular hole closure after the second surgical procedure and the anatomical restoration of the foveal contour.
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Figure 3: OCT imaging showing macular hole closure after the second surgical procedure and the anatomical restoration of the foveal contour.

Mentions: The patient underwent a standard vitrectomy procedure followed by air-fluid exchange and ILM peeling using membrane blue. Silicone oil (1,000 centistokes) was used as the optimal tamponade instead of a long-acting gas, as postoperative posturing was not possible for the patient due to her respiratory problems. No intra- or postoperative complications occurred. Four months later, the visual acuity in her left eye was still 0.1, and OCT imaging showed that the macular hole was still flat open (fig. 2). The patient underwent a second surgical procedure where the silicone oil was exchanged with a long-acting gas, C3F8 (14%), without any further intervention or posturing. Macular hole closure was confirmed by OCT six weeks later and has remained stable since then (fig. 3). Visual acuity was improved to 0.3 one year postoperatively.


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 imaging showing macular hole closure after the second surgical procedure and the anatomical restoration of the foveal contour.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 3: OCT imaging showing macular hole closure after the second surgical procedure and the anatomical restoration of the foveal contour.
Mentions: The patient underwent a standard vitrectomy procedure followed by air-fluid exchange and ILM peeling using membrane blue. Silicone oil (1,000 centistokes) was used as the optimal tamponade instead of a long-acting gas, as postoperative posturing was not possible for the patient due to her respiratory problems. No intra- or postoperative complications occurred. Four months later, the visual acuity in her left eye was still 0.1, and OCT imaging showed that the macular hole was still flat open (fig. 2). The patient underwent a second surgical procedure where the silicone oil was exchanged with a long-acting gas, C3F8 (14%), without any further intervention or posturing. Macular hole closure was confirmed by OCT six weeks later and has remained stable since then (fig. 3). Visual acuity was improved to 0.3 one year postoperatively.

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