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

Pukhraj Rishi, Sumanth Reddy, Ekta Rishi

Research output: Contribution to journalArticlepeer-review

13 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)363-365
Number of pages3
JournalIndian Journal of Ophthalmology
Volume62
Issue number3
DOIs
StatePublished - Mar 2014
Externally publishedYes

Keywords

  • Internal limiting membrane
  • macular hole
  • optical coherence tomography
  • re-surgery
  • vitrectomy

ASJC Scopus subject areas

  • Ophthalmology

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