Repeat gas insufflation for successful closure of idiopathic macular hole following failed primary surgery

Bibliographic Details
Title: Repeat gas insufflation for successful closure of idiopathic macular hole following failed primary surgery
Authors: Pukhraj Rishi, Sumanth Reddy, Ekta Rishi
Source: Indian Journal of Ophthalmology, Vol 62, Iss 3, Pp 363-365 (2014)
Publisher Information: Wolters Kluwer Medknow Publications, 2014.
Publication Year: 2014
Collection: LCC:Ophthalmology
Subject Terms: Clinical profile, Indian population, optic neuritis treatment trial, optic neuritis, Decompression of the orbit, diplopia, orbit, thyroid exophthalmos, thyroid ophthalmopathy, Limbus incision, subconjunctival incision, sutureless manual small-incision cataract surgery, wound construction, Central retinal vein occlusion, intravitrealbevacizumab, intravitrealtriamcinolone acetonide, macular edema, Contrast sensitivity, fixation, microperimeter, normative data, retinal sensitivity, Optical coherence tomography, optic disc pit, retinal detachment, retinoschisis, Homocysteine, retinal vein occlusion, visual impairment, Diabetic macular edema, monocyte chemoattractant protein-1, soluble intracellular adhesion molecule-1, vascular endothelial growth factor, Compressive optic neuropathy, humphrey visual field, ischemic optic neuropathy, multifocal visual evoked potential, Age, body mass index, gender, high density lipoprotein, intraocular pressure, lipid profiles, total cholesterol, triglyceride, Capsular tension ring, cataract, intraocular lens, myopia, phacoemulsification, posterior capsular opacification, Ethnicity, Indian, macular thickness, normative, retinal nerve fiber layer, Ocular torticollis, superior oblique palsy, surgery, Barriers to follow-up, pediatric cataract, visual outcome, Cataract, intracameral mydriatic solution, no preoperative mydriatic, Disc edema, neem oil, putamen, toxin-induced encephalopathy, Toxic Optic Neuropathy Secondary to Consumption of Neem Oil, Absent thumb, craniofacial defects, limbal dermoid, Nager syndrome, Keratitis, Rhodotorula sp, Polymerase chain reaction, Atypical, cholesterol granuloma, Capsular block syndrome, optic neuropathy, Haptic fracture, posterior chamber intraocular lens fracture, spontaneous fracture, Bacterial conjunctivitis, conjunctivitis, gram negative diplococcus, Neisseria sicca, netilmicin, Aspergillosis, endophthalmitis, vitrectomy, voriconazole, Eyelid retraction, orbital infection, orbital neonatal abscess, neonatal abscess, Dirofilaria, intraocular dirofilaria, worm, Axenfeld-Rieger Syndrome, anterior segment dysgenesis, blepharophimosis ptosis epicanthus inversus syndrome, glaucoma, Actinic granuloma, conjunctiva, granuloma annulare, necrobiosis lipoidica, Internal limiting membrane, macular hole, optical coherence tomography, re-surgery, Ophthalmology, RE1-994
More Details: A 65-year-old lady presented with decreased vision in left eye since seven months. Vision was 6/9 in right eye and 6/36 in left. Examination revealed idiopathic, full-thickness macular hole in left eye; confirmed by optical coherence tomography (OCT). Patient underwent phacoemulsification with intraocular lens (IOL) implantation, vitrectomy, internal limiting membrane (ILM) peeling and 14% C 3 F 8 gas injection. OCT repeated after six weeks revealed type II closure with cuff of subretinal fluid. Four weeks later, patient underwent fluid-gas exchange with 14% C 3 F 8 gas and postoperative positioning. OCT was repeated after two weeks, which showed complete closure of the macular hole. OCT can help in selection of eyes for re-surgery that stand a better chance for hole closure. Macular holes with cuff of subretinal fluid are probably more likely to close on re-surgery than those without. However, larger studies with longer follow-up are required to validate this finding.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 0301-4738
1998-3689
Relation: http://www.ijo.in/article.asp?issn=0301-4738;year=2014;volume=62;issue=3;spage=363;epage=365;aulast=Rishi; https://doaj.org/toc/0301-4738; https://doaj.org/toc/1998-3689
DOI: 10.4103/0301-4738.116452
Access URL: https://doaj.org/article/94e3621323b3474b972e2f372138c103
Accession Number: edsdoj.94e3621323b3474b972e2f372138c103
Database: Directory of Open Access Journals
More Details
ISSN:03014738
19983689
DOI:10.4103/0301-4738.116452
Published in:Indian Journal of Ophthalmology
Language:English