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Graefe's Archive for Clinical and Experimental Ophthalmology

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01-05-2009 | Case Report

Heavy silicone oil tamponade after failed macular hole surgery with perfluoropropane (C₃F₈): a report of five cases

Authors: Muhammad Usman Saeed, Heinrich Heimann, David Wong, Syed Khurshid Gibran

Published in: Graefe's Archive for Clinical and Experimental Ophthalmology | Issue 5/2009

Abstract

Summary

We report five cases of persistent macular holes following conventional surgery. Subsequent management included pars plana vitrectomy, extended Trypan Blue-assisted ILM peel and heavy silicone oil (HSO) tamponade with supine posture.

Purpose

To report results of redo macular hole surgery using heavy silicone oil (HSO) tamponade.

Methods

Retrospective study of patients with primary failure of macular hole surgery, who failed to posture prone due to medical reasons. Further surgery consisted of vitrectomy, extended-dye-assisted ILM peel, and HSO tamponade with supine posture.

Results

Anatomical closure of macular holes was achieved in three out of five cases with parallel improvement in visual acuity after 3 months of removal of heavy silicone oil. These were confirmed clinically and by ocular coherence tomography (OCT).

Conclusions

HSO may be used as tamponade in patients with unsuccessful primary macular-hole surgery, negating the need of prone posturing post-operatively.

Goldbaum MH, McCuen BW, Hanneken AM, Burgess SK, Chen HH (1998) Silicone oil tamponade to seal macular holes without position restrictions. Ophthalmology 105(11):2140–2147 doi:10.1016/S0161-6420(98)91140-X PubMedCrossRef

Rizzo S, Belting C, Genovesi-Ebert F, Cresti F, Vento A, Martini R (2006) Successful treatment of persistent macular holes using heavy silicone oil as intraocular tamponade. Retina 26:905–908 doi:10.1097/01.iae.0000250006.76155.3d PubMedCrossRef

Lai JC, Stinnett SS, McCuen BW (2003) Comparison of silicone oil versus gas tamponade in the treatment of idiopathic full-thickness macular hole. Ophthalmology 110:1170–1174 doi:10.1016/S0161-6420(03)00264-1 PubMedCrossRef

Paques, Massin M, Blain P, Duquesnoy AS, Gaudric A (2000) Long-term incidence of reopening of macular holes. Ophthalmology 107:760–765 doi:10.1016/S0161-6420(99)00182-7 PubMedCrossRef

Tadayoni R, Gaudric A, Haouchine B, Massin P (2006) Relationship between macular hole size and the potential benefit of internal limiting membrane peeling. Br J Ophthalmol 90:1239–1241 doi:10.1136/bjo.2006.091777 PubMedCrossRef

Fekrat S, Wendel RT, de la Cruz Z, Green WR (1995) Clinicopathologic correlation of an epiretinal membrane associated with recurrent macular hole. Retina 15:53–57 doi:10.1097/00006982-199515010-00010 PubMedCrossRef

Valldeperas X, Wong D (2008) Is it worth reoperating on macular holes. Ophthalmology 115:158–163 doi:10.1016/j.ophtha.2007.01.039 PubMedCrossRef

Kumar V, Banerjee S, Loo AV, Callear AB, Benson MT (2002) Macular hole surgery with silicone oil. Eye 16:121–125 doi:10.1038/sj/eye/6700029 PubMedCrossRef

Sandner D, Herbrig E, Engelmann K (2007) High-density silicone oil (Densiron) as a primary intraocular tamponade: 12-month follow-up. Graefes Arch Clin Exp Ophthalmol 245:1097–1105 doi:10.1007/s00417-006-0496-y PubMedCrossRef

Title: Heavy silicone oil tamponade after failed macular hole surgery with perfluoropropane (C3F8): a report of five cases
Authors: Muhammad Usman Saeed
Heinrich Heimann
David Wong
Syed Khurshid Gibran
Publication date: 01-05-2009
Publisher: Springer-Verlag
Published in: Graefe's Archive for Clinical and Experimental Ophthalmology / Issue 5/2009
Print ISSN: 0721-832X
Electronic ISSN: 1435-702X
DOI: https://doi.org/10.1007/s00417-008-0965-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Heavy silicone oil tamponade after failed macular hole surgery with perfluoropropane (C₃F₈): a report of five cases

Abstract

Summary

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Summary

Purpose

Methods

Results

Conclusions

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