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B. Shah, D. Dyer, G. M. Fox, B. A. Cooper; Results of 25-Gauge Vitrectomy for Macular Hole Repair. Invest. Ophthalmol. Vis. Sci. 2007;48(13):4113.
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© ARVO (1962-2015); The Authors (2016-present)
Evaluate success rate of closure of macular holes using a 25-gauge vitrectomy surgical technique.
We reviewed 89 cases of 25-gauge vitrectomy for macular hole repair surgery by three surgeons from March of 2004 to February of 2006. Postoperative patients remained face down for 7-14 days when a gas tamponade was used. Of the patients reviewed 18 received silicone oil, 4 received no tamponade, and 67 received a gas tamponade with either C3F8 or SF6.
To date we report a 100% success rate of closure of macular holes utilizing the 25-gauge vitrectomy surgical technique with follow-up time ranging from 2 years to 10 months. Out of the 89 cases, the average preoperative vision was 20/164 with 9 cases excluded for having vision counting fingers or worse. The average 1 month post-operative visual acuity for patients in whom silicone oil was used was 20/225; and the average 1 month post operative visual acuity for patients in whom gas was used was 20/107 . The average intraocular pressure for all three groups was 18 mm Hg one day post-operative and 17 mm Hg one month postoperative.
Conclusions: The 25-gauge vitrectomy surgical technique is an effective technique for macular hole repair. The difference in visual acuity between patients who received silicone oil and gas can be due to refractive changes caused by the silicone oil.
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