Comparative Study of the Effects of Room Air and Sulfur Hexafluoride Gas Tamponade on Functional and Morphological Recovery after Macular Hole Surgery: A Retrospective Study

2013 ◽  
Vol 50 (4) ◽  
pp. 227-230 ◽  
Author(s):  
Hideaki Usui ◽  
Tsutomu Yasukawa ◽  
Yoshio Hirano ◽  
Hiroshi Morita ◽  
Munenori Yoshida ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Comparative Study ◽  
Macular Hole ◽  
Sulfur Hexafluoride ◽  
Macular Hole Surgery ◽  
Gas Tamponade

scholarly journals Outcome of 2 cc pure sulfur hexafluoride gas tamponade for macular hole surgery

2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Naresh B. Kannan ◽  
Olukorede O. Adenuga ◽  
Karthik Kumar ◽  
Kim Ramasamy
Keyword(s):  
Macular Hole ◽  
Sulfur Hexafluoride ◽  
Macular Hole Surgery ◽  
Gas Tamponade

OUTCOMES OF SULFUR HEXAFLUORIDE (SF6) VERSUS PERFLUOROPROPANE (C3F8) GAS TAMPONADE FOR MACULAR HOLE SURGERY

Retina ◽  
2008 ◽  
Vol 28 (10) ◽  
pp. 1408-1415 ◽  
Author(s):  
SUNG SOO KIM ◽  
WILLIAM E. SMIDDY ◽  
WILLIAM J. FEUER ◽  
WEI SHI
Keyword(s):  
Macular Hole ◽  
Sulfur Hexafluoride ◽  
Macular Hole Surgery ◽  
Gas Tamponade

Selective Amplitude Reduction of the PhNR after Macular Hole Surgery: Ganglion Cell Damage Related to ICG-Assisted ILM Peeling and Gas Tamponade

2006 ◽  
Vol 47 (8) ◽  
pp. 3545 ◽  
Author(s):  
Shinji Ueno ◽  
Mineo Kondo ◽  
Chang-Hua Piao ◽  
Kazuteru Ikenoya ◽  
Yozo Miyake ◽  
...  
Keyword(s):  
Ganglion Cell ◽  
Macular Hole ◽  
Cell Damage ◽  
Ilm Peeling ◽  
Macular Hole Surgery ◽  
Gas Tamponade

scholarly journals Aspiration of viscous plug in macular hole surgery- a case series

2022 ◽  
Vol 14 ◽  
pp. 251584142110632
Author(s):  
Shaheryar Ahmed Khan ◽  
Craig Goldsmith ◽  
Mya Thandar So
Keyword(s):  
Viscous Fluid ◽  
Macular Hole ◽  
Controlled Trial ◽  
Standard Procedure ◽  
Case Series ◽  
Internal Limiting Membrane ◽  
Control Group ◽  
Macular Hole Surgery ◽  
Gas Tamponade ◽  
Hole Closure

Macular hole surgery has been revolutionized since the 1990s’ with the advent of pars plana vitrectomy with internal limiting membrane peeling and gas tamponade, which is now extensively practiced and regarded as the gold standard procedure for surgical treatment of macular hole. Here, we report a simple adjunctive maneuver to conventional PPV with ILM peel and gas tamponade. We observed presence of a viscous fluid in the base of the macular hole in our series. In all, 40 eyes of 39 patients consecutively operated on from June 2019 to December 2020 for PPV with ILM peel and gas tamponade, were included in this study. The viscous plug was aspirated passively using a 25 gauge cannula with its tip above the macular hole, approaching only until a fluid-wave was visualized, which resulted in flattening of the fluid cuff area aiding the macular hole closure in a concentric pattern. Macular hole closure and complete success was seen in 39 out of 40 eyes (97.5%) and only 1 failure (2.5%) observed in this series. In our case series, we have observed the presence of a viscous fluid plug in the macular hole. We demonstrated that aspirating this thick fluid from the hole results in the flattening of the cuff of fluid and subsequent closure of the macular hole in a concentric manner in almost all cases in our series. The lack of concurrent control group means we cannot state a definitive effect of the intervention, but it does suggest the utility of a prospective randomized controlled trial.

Air vs Gas Tamponade During Macular Hole Repair Surgery

2020 ◽  
Vol 4 (5) ◽  
pp. 360-363
Author(s):  
Shriji N. Patel ◽  
Janice Law ◽  
Edward Cherney ◽  
Franco Recchia ◽  
Stephen J. Kim
Keyword(s):  
Macular Hole ◽  
Sulfur Hexafluoride ◽  
Final Analysis ◽  
Gas Tamponade ◽  
Macular Holes ◽  
Full Thickness Macular Hole ◽  
Significant Difference ◽  
Pars Plana ◽  
Operative Report ◽  
Hole Closure

Purpose: This work investigates the visual and anatomical outcomes of full-thickness macular hole (FTMH) repair surgery using air in comparison to gas tamponade. Methods: A retrospective consecutive review of medical records was undertaken of all patients undergoing pars plana vitrectomy for idiopathic FTMH at an academic practice from January 2010 to May 2017. Each operative report was reviewed to investigate the agent used for tamponade at the end of the surgery. Preoperative hole duration and size as measured using optical coherence tomography as well as successful postoperative hole closure were recorded. Use of gas or air was not randomized and was instilled at surgeon discretion. Results: The final analysis included 211 eyes. Gas was used as the tamponade agent in 171 of the 211 eyes; most of these eyes (144 of 171) received sulfur hexafluoride (SF6) and the remainder received perfluoropropane (C3F8). Forty eyes underwent only a complete fluid-air exchange without any gas placement following vitrectomy. There was no statistically significant difference between the 2 groups in mean preoperative macular hole size ( P = .43). Nine of the 171 macular holes receiving gas tamponade failed to close (5.3%). One of the 40 macular holes receiving only air failed to close (2.5%). There was no statistically significant difference in hole closure rates between the 2 groups ( P = .45). Conclusions: Air served as an equally efficacious internal tamponade agent in comparison to nonexpansile gas following idiopathic FTMH repair surgery.

scholarly journals Retrospective study on outcome of macular hole surgery

2017 ◽  
Vol 8 (2) ◽  
pp. 139-143 ◽  
Author(s):  
S Singh ◽  
R Byanju ◽  
S Pradhan ◽  
G Lamichhane
Keyword(s):  
Macular Hole ◽  
Surgical Complication ◽  
Visual Outcome ◽  
Internal Limiting Membrane ◽  
Ilm Peeling ◽  
Macular Hole Surgery ◽  
Gas Tamponade ◽  
Vitreous Cortex ◽  
Intraocular Gas ◽  
Hole Closure

Introduction: Macular hole is a common and treatable cause of central visual loss. Classic macular hole surgery consists of vitrectomy, posterior vitreous cortex removal and intraocular gas tamponade, but during the past decade focus has especially been on internal limiting membrane (ILM) peeling as adjuvant therapy for increasing closure rates. Objective: To determine and evaluate anatomical and visual outcome of macular hole surgery. Materials and methods: Retrospective analysis of all cases of macular hole surgery done by single surgeon between 2014 -2015. Results:16 eyes were analysed with follow up of 3 months. Macular hole closure after vitrectomy was 75% with visual improvement of two or more line in 62.5%.Post surgical complication included cataract 18.8%, Increased IOP 12.5% and retinal detachment 6.2%. Conclusion: Vitrectomy along with ILM peeling and Gas Tamponade with effective positioning improves in visual acuity and achieve hole closure in people with macular hole. 

scholarly journals Autologous Platelet-Rich Fibrin in the Treatment of Refractory Macular Holes

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Arif Koytak ◽  
Fadime Nuhoglu ◽  
Havvanur Bayraktar ◽  
Rukiye Ercan ◽  
Hakan Ozdemir
Keyword(s):  
Macular Hole ◽  
Sulfur Hexafluoride ◽  
Case Reports ◽  
Effective Alternative ◽  
Platelet Rich Fibrin ◽  
Gas Tamponade ◽  
First Case ◽  
Macular Holes ◽  
Novel Method ◽  
Autologous Platelet

Purpose. To describe a novel method for the treatment of refractory macular holes. Methods. Two case reports on the use of autologous platelet rich fibrin (PRF), followed by sulfur hexafluoride gas tamponade to facilitate closure of refractory macular holes. Results. Macular holes were succesfully closed within a week in both cases. Best corrected Snellen visual acuities improved from counting fingers to 0.16 in the first case, and from 0.05 to 0.2 in the second case. No complication occurred during or after the procedures. Conclusion. The use of autologous PRF seems to be a safe and effective alternative method for the treatment of refractory macular holes. Further experience and studies are required to assess the value of autologous PRF in the management of challenging macular hole cases of different etiologies. To the best of our knowledge, this is the first use of autologous PRF in the treatment of macular holes.

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