Purchase this article with an account.
L Vu, ME Tafoya, HM Lambert; Visual Outcomes Of Silicone Oil Tamponade Versus Gas Tamponade For Macular Hole Surgery . Invest. Ophthalmol. Vis. Sci. 2002;43(13):2478.
Download citation file:
© ARVO (1962-2015); The Authors (2016-present)
Purpose:To determine the effectiveness of silicone oil tamponade versus gas tamponade to treat macular holes. Methods:A retrospective review of patients who underwent macular hole repair with either silicone oil tamponade or gas tamponade. Results:Data from 66 eyes from the practice of one physician (HML) were reviewed to assess visual outcomes of surgery with silicone oil tamponade versus 14% C3F8 gas tamponade. 21 eyes were nonrandomized to silicone oil tamponade and 45 eyes underwent gas tamponade. The overall follow-up time was 11.8 months. Stage 2 holes constituted 9% of the holes, stage 3 and 4 made up 75%, recurrent holes were 11%, and 5% were traumatic holes. Of the macular holes not treated previously, 81.3% (13 of 16) were sealed with silicone oil tamponade while 83.7% (36 of 43) of the gas treated eyes were sealed. The overall primary closure rate was 83.1% (49 of 59). The pre-operative decimal visual acuity was 0.104 (20/192) for the silicone oil group and 0.193 (20/104) for the gas treated group. The post-operative decimal visual acuity at 1 year was 0.208 (20/96) for the silicone oil group and 0.453 (20/44) for the gas treated group. The reopening rate for the silicone oil group was 14% (3 of 21) and 9% (4 of 45) for the gas treated group. The need for cataract surgery post macular hole repair was 19% (4 of 21) for the silicone oil group and 38% (17 of 45) for the gas treated group. Conclusion:With short-term follow-up silicone oil tamponade and gas tamponade are both successful in anatomic closure of macular holes. In eyes with macular holes surgically repaired with gas tamponade significant improvements in visual acuity are seen more frequently than eyes treated with silicone oil tamponade.
This PDF is available to Subscribers Only