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Graefe's Archive for Clinical and Experimental Ophthalmology

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01-11-2009 | Retinal Disorders

Equivalent tamponade by room air as compared with SF₆ after macular hole surgery

Authors: Yuhei Hasegawa, Yasuaki Hata, Yasutaka Mochizuki, Ryoichi Arita, Shuhei Kawahara, Takeshi Kita, Yoshihiro Noda, Tatsuro Ishibashi

Published in: Graefe's Archive for Clinical and Experimental Ophthalmology | Issue 11/2009

Abstract

Background

To evaluate the effect of tamponade by room air after vitrectomy for the treatment of idiopathic macular hole (MH).

Methods

There were 156 eyes of 151 patients studied. The patients’ ages ranged from 35 to 88 years old (mean: 65.1 years). After conventional pars plana vitrectomy with internal limiting membrane peeling, fluid air exchange was performed using 20% SF₆ (Gas group: 91 eyes) or room air (Air group: 65 eyes). Surgical outcomes were retrospectively analyzed.

Results

Mean preoperative hole diameter was 352 μm in the Gas group and 370 μm in the Air group (P = 0.558). The closure rate of all cases was 91.0% after first surgery and 98.7% at last follow-up. The primary closure rate was 90.1% in the Gas group after 7.44 ± 1.66 (mean ± SD) days prone positioning period, and 92.3% in the Air group after 3.83 ± 0.97 days of prone positioning. There was significant difference in prone positioning period (P < 0.0001), but not in the first closure rate (P = 0.132).

Conclusion

This study suggests that room air may have an equivalent tamponade effect, in spite of the shorter prone positioning period, than SF₆ after MH surgery.

Kelly NE, Wendel RT (1991) Vitreous surgery for idiopathic macular holes. Results of a pilot study. Arch Ophthalmol 109:654–659PubMed

Liesenhoff O, Messmer EM, Pulur A, Kampik A (1996) Surgical management of complete macular foramina. Ophthalmologe 93:655–659, doi:10.1007/s003470050053 PubMedCrossRef

Benson ME, Cruickshanks KC, Fong DS, MPH WGA, Bloome MA, Frambach DA, Kreiger AE, Murphy RP (2002) Surgical management of macular holes: a report by the American Academy of Ophthalmology. Ophthalmology 109:622–623, doi:10.1016/S0161-6420(01)00957-5 CrossRef

Haritoglou C, Gass CA, Schaumberger M, Ehrt O, Gandorfer A, Kampik A (2001) Macular changes after peeling of the internal limiting membrane in macular hole surgery. Am J Ophthalmol 132:363–368, doi:10.1016/S0002-9394(01)01093-5 PubMedCrossRef

Brooks HL Jr (2000) Macular hole surgery with and without internal limiting membrane peeling. Ophthalmology 107:1939–1949, doi:10.1016/S0161-6420(00)00331-6 PubMedCrossRef

Thompson JT, Smiddy WE, Glaser BM, Sjaarda RN, Flynn HW Jr (1996) Intraocular tamponade duration and success of macular hole surgery. Retina 16:373–382, doi:10.1097/00006982-199616050-00002 PubMedCrossRef

Goldbaum MH, McCuen BW, Hanneken AM, Burqess SK, Chen HH (1998) Silicone oil tamponade to seal macular holes without position restrictions. Ophthalmology 105:2140–2148, doi:10.1016/S0161-6420(98)91140-X PubMedCrossRef

Chignell AH, Billington B (1986) The treatment of macular holes by pars plana vitrectomy and internal air/SF6 exchange. Graefes Arch Clin Exp Ophthalmol 224:67–68, doi:10.1007/BF02144139 PubMedCrossRef

Mori K, Saito S, Gehlbach PL, Yoneya S (2007) Treatment of stage 2 macular hole by intravitreous injection of expansile gas and induction of posterior vitreous detachment. Ophthalmology 114:127–133, doi:10.1016/j.ophtha.2006.07.001 PubMedCrossRef

10.

Thompson JT, Glaser BM, Sjaarda RN, Murphy RP, Hanham A (1994) Effects of intraocular bubble duration in the treatment of macular holes by vitrectomy and transforming growth factor-beta 2. Ophthalmology 101:1195–1200PubMed

11.

Minihan M, Goggin M, Cleary PE (1997) Surgical management of macular holes: results using gas tamponade alone, or in combination with autologous platelet concentrate, or transforming growth factor beta 2. Br J Ophthalmol 81:1073–1079, doi:10.1136/bjo.81.12.1073 PubMedCrossRef

12.

Isomae T, Sato Y, Shimada H (2002) Shortening the duration of prone positioning after macular hole surgery- comparison between 1-week and 1-day prone positioning. Jpn J Ophthalmol 46:84–88, doi:10.1016/S0021-5155(01)00468-3 PubMedCrossRef

13.

Krohn J (2005) Duration of face-down positioning after macular hole surgery: a comparison between 1 week and 3 days. Acta Ophthalmol Scand 83:289–292, doi:10.1111/j.1600-0420.2005.00462.x PubMedCrossRef

14.

Tornambe PE, Poliner LS, Grote K (1997) Macular hole surgery without face-down positioning. A pilot study. Retina 17:179–185PubMed

15.

Enaida H, Hisatomi T, Hata Y, Ueno A, Goto Y, Yamada T, Kubota T, Ishibashi T (2006) Brilliant blue G selectively stains the internal limiting membrane/brilliant blue G-assisted membrane peeling. Retina 26:631–636, doi:10.1097/00006982-200607000-00007 PubMedCrossRef

16.

Mochizuki Y, Enaida H, Hisatomi T, Hata Y, Miura M, Arita R, Kawahara S, Kita T, Ueno A, Ishibashi T (2008) The internal limiting membrane peeling with brilliant blue G staining for retinal detachment due to macular hole in high myopia. Br J Ophthalmol 92:1009, doi:10.1136/bjo.2007.126300 PubMedCrossRef

17.

Da Mata AP, Burk SE, Foster RE, Riemann CD, Petersen MR, Nehemy MB, Augsburger JJ (2004) Long-term follow-up of indocyanine green-assisted peeling of the retinal internal limiting membrane during vitrectomy surgery for idiopathic macular hole repair. Ophthalmology 111:2246–2253, doi:10.1016/j.ophtha.2004.05.037 PubMedCrossRef

18.

Haritoglou C, Reiniger IW, Schaumberger M, Gass CA, Priglinger SG, Kampik A (2006) Five-year follow-up of macular hole surgery with peeling of the internal limiting membrane: update of a prospective study. Retina 26:618–622, doi:10.1097/00006982-200607000-00005 PubMedCrossRef

19.

Lai MM, Williams GA (2007) Anatomical and visual outcomes of idiopathic macular hole surgery with internal limiting membrane removal using low-concentration indocyanine green. Retina 27:477–482, doi:10.1097/01.iae.0000247166.11120.21 PubMedCrossRef

20.

Wells JA, Gregor ZJ (1996) Surgical treatment of full-thickness macular holes using autologous serum. Eye 10:593–599PubMed

21.

Sato H, Kawasaki R, Yamashita H (2003) Observation of idiopathic full-thickness macular hole closure in early postoperative period as evaluated by optical coherence tomography. Am J Ophthalmol 136:185–187, doi:10.1016/S0002-9394(03)00094-1 PubMedCrossRef

22.

Kasuga Y, Arai J, Akimoto M, Yoshimura N (2000) Optical coherence tomograghy to confirm early closure of macular holes. Am J Ophthalmol 130:675–676, doi:10.1016/S0002-9394(00)00587-0 PubMedCrossRef

23.

Eckardt C, Eckert T, Eckardt U, Porkert U, Gesser C (2008) Macular hole surgery with air tamponade and optical coherence tomography-based duration of face-down positioning. Retina 28:1087–1096, doi:10.1097/IAE.0b013e318185fb5f PubMedCrossRef

24.

Ullrich S, Haritoglou C, Gass C, Schaumberger M, Ulbig MW, Kampik A (2002) Macular hole size as a prognostic factor in macular hole surgery. Br J Ophthalmol 86:390–393, doi:10.1136/bjo.86.4.390 PubMedCrossRef

25.

Ellis JD, Malik TY, Taubert MA, Barr A, Baines PS (2000) Surgery for full-thickness macular holes with short-duration prone posturing: results of a pilot study. Eye 14:307–312PubMed

26.

Alpatov S, Shchuko A, Malyshev V (2007) A new method of treating macular holes. Eur J Ophthalmol 17:246–252PubMed

Title: Equivalent tamponade by room air as compared with SF6 after macular hole surgery
Authors: Yuhei Hasegawa
Yasuaki Hata
Yasutaka Mochizuki
Ryoichi Arita
Shuhei Kawahara
Takeshi Kita
Yoshihiro Noda
Tatsuro Ishibashi
Publication date: 01-11-2009
Publisher: Springer-Verlag
Published in: Graefe's Archive for Clinical and Experimental Ophthalmology / Issue 11/2009
Print ISSN: 0721-832X
Electronic ISSN: 1435-702X
DOI: https://doi.org/10.1007/s00417-009-1120-8

At a glance: The STEP trials

Springer Medicine

Equivalent tamponade by room air as compared with SF₆ after macular hole surgery

Abstract

Background

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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