December 2002
Volume 43, Issue 13
Free
ARVO Annual Meeting Abstract  |   December 2002
Macular Hole Surgey With Silicone Oil Tamponade
Author Affiliations & Notes
  • L Akduman
    Saint Louis University Eye Institute Saint Louis MO
  • O Oz
    Saint Louis University Eye Institute Saint Louis MO
  • DS Mehr
    Saint Louis University Eye Institute Saint Louis MO
  • SS Feman
    Saint Louis University Eye Institute Saint Louis MO
  • RJ Olk
    The Retina Center Saint Louis MO
  • Footnotes
    Commercial Relationships   L. Akduman, None; O. Oz, None; D.S. Mehr, None; S.S. Feman, None; R.J. Olk, None.
Investigative Ophthalmology & Visual Science December 2002, Vol.43, 2491. doi:
  • Views
  • Share
  • Tools
    • Alerts
      ×
      This feature is available to authenticated users only.
      Sign In or Create an Account ×
    • Get Citation

      L Akduman, O Oz, DS Mehr, SS Feman, RJ Olk; Macular Hole Surgey With Silicone Oil Tamponade . Invest. Ophthalmol. Vis. Sci. 2002;43(13):2491.

      Download citation file:


      © ARVO (1962-2015); The Authors (2016-present)

      ×
  • Supplements
Abstract

Abstract: : Purpose: To determine efficacy and visual and anatomic results of macular hole surgery using silicone oil tamponade. Methods: Eighty eyes of 79 patients with stage 2,3, or 4 primary or recurrent macular holes underwent pars plana vitrectomy, membrane peeling, and removal of internal limiting membrane (if prominent), followed by silicone oil tamponade for 6-12 weeks. Post-operative face-down positioning was maintained for one night. Results: Seventy-one eyes had primary holes and 9 eyes had recurrent holes. Follow-up ranged 6 to 36 months (median=15 months). Macular hole closed initially in 76 eyes (95%). In 4 eyes (5%), the macular hole re-opened after removal of silicone oil. Visual acuity improved 2 lines or more in 48 eyes (60%). Retinal detachment occurred in 2 eyes (2.5%). Four eyes (5%) required an additional operation to remove residual silicone bubbles. Cataract progressed in 80% of phakic eyes. Conclusion: Macular hole surgery using silicone oil tamponade provides an effective technique with excellent anatomic and visual results, minimal complications, and a much less stressful post-operative period for the patient.

Keywords: 461 macular holes • 460 macula/fovea • 554 retina 
×
×

This PDF is available to Subscribers Only

Sign in or purchase a subscription to access this content. ×

You must be signed into an individual account to use this feature.

×