Indian Journal of Ophthalmology (Jan 2014)
Repeat gas insufflation for successful closure of idiopathic macular hole following failed primary surgery
- Pukhraj Rishi,
- Sumanth Reddy,
- Ekta Rishi
Affiliations
- Pukhraj Rishi
- Sumanth Reddy
- Ekta Rishi
- DOI
- https://doi.org/10.4103/0301-4738.116452
- Journal volume & issue
-
Vol. 62,
no. 3
pp. 363 – 365
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.
Keywords
- Clinical profile
- Indian population
- optic neuritis treatment trial
- optic neuritis
- Decompression of the orbit
- diplopia
- orbit
- thyroid exophthalmos
- thyroid ophthalmopathy
- Limbus incision
- subconjunctival incision
- sutureless manual small-incision cataract surgery
- wound construction
- Central retinal vein occlusion
- intravitrealbevacizumab
- intravitrealtriamcinolone acetonide
- macular edema
- Contrast sensitivity
- fixation
- microperimeter
- normative data
- retinal sensitivity
- Optical coherence tomography
- optic disc pit
- retinal detachment
- retinoschisis
- Homocysteine
- retinal vein occlusion
- visual impairment
- Diabetic macular edema
- monocyte chemoattractant protein-1
- soluble intracellular adhesion molecule-1
- vascular endothelial growth factor
- Compressive optic neuropathy
- humphrey visual field
- ischemic optic neuropathy
- multifocal visual evoked potential
- optic neuritis
- Age
- body mass index
- gender
- high density lipoprotein
- intraocular pressure
- lipid profiles
- total cholesterol
- triglyceride
- Capsular tension ring
- cataract
- intraocular lens
- myopia
- phacoemulsification
- posterior capsular opacification
- Ethnicity
- Indian
- macular thickness
- normative
- retinal nerve fiber layer
- Ocular torticollis
- superior oblique palsy
- surgery
- Barriers to follow-up
- pediatric cataract
- visual outcome
- Cataract
- intracameral mydriatic solution
- no preoperative mydriatic
- phacoemulsification
- Disc edema
- neem oil
- putamen
- toxin-induced encephalopathy
- Toxic Optic Neuropathy Secondary to Consumption of Neem Oil
- Absent thumb
- craniofacial defects
- limbal dermoid
- Nager syndrome
- Keratitis
- Rhodotorula sp
- Polymerase chain reaction
- Atypical
- cholesterol granuloma
- orbit
- Capsular block syndrome
- optic neuropathy
- phacoemulsification
- Haptic fracture
- posterior chamber intraocular lens fracture
- spontaneous fracture
- Bacterial conjunctivitis
- conjunctivitis
- gram negative diplococcus
- Neisseria sicca
- netilmicin
- Aspergillosis
- endophthalmitis
- vitrectomy
- voriconazole
- Eyelid retraction
- orbital infection
- orbital neonatal abscess
- neonatal abscess
- Dirofilaria
- intraocular dirofilaria
- worm
- Axenfeld-Rieger Syndrome
- anterior segment dysgenesis
- blepharophimosis ptosis epicanthus inversus syndrome
- glaucoma
- Actinic granuloma
- conjunctiva
- granuloma annulare
- necrobiosis lipoidica
- Internal limiting membrane
- macular hole
- optical coherence tomography
- re-surgery
- vitrectomy