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

Abstract

UNLABELLED:

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.

• Authors: Muhammad Usman Saeed, Heinrich Heimann, David Wong, Syed Khurshid Gibran
• Journal: Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie (Graefes Arch Clin Exp Ophthalmol) Vol. 247 Issue 5 Pg. 707-9 (May 2009) ISSN: 1435-702X [Electronic] Germany
• PMID: 18972124 (Publication Type: Journal Article)

Chemical References

• Coloring Agents
• Fluorocarbons
• Silicone Oils
• densiron
• perflutren
• Trypan Blue

Topics

• Basement Membrane (pathology, surgery)
• Coloring Agents
• Drainage (methods)
• Fluorocarbons (administration & dosage)
• Humans
• Recurrence
• Retinal Perforations (diagnosis, physiopathology, therapy)
• Retrospective Studies
• Silicone Oils (administration & dosage)
• Supine Position
• Tomography, Optical Coherence
• Treatment Failure
• Treatment Outcome
• Trypan Blue
• Visual Acuity (physiology)
• Vitrectomy