The Surgical Results of Stages 2 and 3 Macular Hole With Internal Limiting Membrane Peeling and Intravitreal Air.
10.3341/jkos.2009.50.7.1076
- Author:
Sung Bok LEE
1
;
Ki Yup NAM
;
Kyoung Nam KIM
;
Young Joon JO
Author Information
1. Department of Ophthalmology, College of Medicine, Chungnam National University, Daejeon, Korea. youngjoon@cnu.ac.kr
- Publication Type:Original Article
- Keywords:
Air;
Internal limiting membrane;
Macular hole;
Triamcinolone
- MeSH:
Cataract;
Eye;
Follow-Up Studies;
Humans;
Membranes;
Phacoemulsification;
Recurrence;
Retinal Perforations;
Tomography, Optical Coherence;
Triamcinolone;
Visual Acuity;
Vitrectomy
- From:Journal of the Korean Ophthalmological Society
2009;50(7):1076-1081
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To examine the results of macular hole surgery using pars plana vitrectomy (PPV), triamcinolone-assisted peeling of the internal limiting membrane (ILM), and intravitreous air in idiopathic stage 2 and 3 macular holes. METHODS: Thirteen eyes of 13 consecutive patients with idiopathic macular hole underwent a PPV with triamcinolone-assisted ILM peeling and intravitreous air tamponade. An air-fluid exchange was performed and the patient was asked to maintain a face-down position at home for 4 days. The follow-up period was 6 months or more in all cases. If a significant cataract was present before surgery, a combined phacoemulsification with posterior chamber lens implantation was performed at the time of the macular hole surgery. The closure of the macular hole was determined by biomicroscopy and Optical Coherence Tomography (OCT). RESULTS: The idiopathic macular hole was closed after the primary operation in all 13 patients. The postoperative visual acuities (0.1 to 0.9) significantly improved from the preoperative visual acuities (0.02 to 0.4) in all eyes. There was no recurrence of the macular hole and there were no adverse effects of the intraoperative use of triamcinolone and ILM peeling during the follow-up period. CONCLUSIONS: This study suggests that triamcinolone-assisted ILM peeling with intravitreous air may be an effective technique for stage 2 and 3 macular holes. This procedure could reduce the face-down position time and improve early visual rehabilitation by using air instead of long-acting gas tamponade.
