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Inna G. Georgieva, Lothar Krause; Persistent Macular Holes-successful Treatment With Silicon Oil As Intraocular Tamponade. Invest. Ophthalmol. Vis. Sci. 2012;53(14):2618.
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The aim of our study was to evaluate the efficacy of the use of silicon oil as intraocular endotamponade for the treatment of persistent macular holes(MH’s), in the patients with macular hole, that failed to close after primary macular hole surgery with SF6-gasendotamponade.
We performed retrospective study on 22 consecutive eyes with persistent MHs after insufficient vitreoretinal macular hole surgery with gas, for the period from 01.2009 till 09.2011 at the Dept. of Ophthalmology. Best corrected visual acuity (VA), slit-lamp examination, binocular fundus examination were used for evaluation pre-and postoperatively. The main outcome measures were: anatomic closure of holes, final best-corrected visual acuity (VA) and postoperative complications.The follow-up period was 3 months.
All patients displayed preoperatively full-thickness macular holes with positive Watzke symptom.Postoperatively,closure of the macular hole was achieved in all 22 patients. Mean VA preoperatively was 0.08(0.001-0.3Dezimalvisus) and 0.18(0.001-0.4 Dezimalvisus) respectively 3 months after the surgery.14 eyes(64%) showed an increase in visual acuity and 8(36%) eyes remained unchanged. No complications, as emulsification, atrophy of the optic nerve or secondary glaucoma were observed.
Our promising results showed that retreatment with silicon oil can be used effectively by patients with persistent macular hole.
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