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Ramakrishna Ratnakaram, Tanya Verma, Keerti Yendamuri; Silicone oil is an effective alternate tamponading agent to gas in select cases for management of macular hole.. Invest. Ophthalmol. Vis. Sci. 2020;61(7):3720.
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In a small group of patients undergoing macular hole repair, silicone was used as the tamponading agent instead of gas. Reasons were patients inability to maintain post operative positioning due to physical and mental health or patients stated inability for compliance. This is a retrospective chart review to determine the anatomic outcomes of these patients that had Silicone oil as a tamponading agent.
Charts of 25 patients who have undergone Macular repair with same surgeon over past 4 yrs were reviewed. Of these,17 eyes of 15 patients underwent initial macular hole repair and 10 eyes of 10 patients underwent second surgery for failed initial macular hole repair. All patients underwent vitrectomy with ILM peel and SO tamponade instead of gas. Anatomic outcomes in all these patients were evaluated with help of OCT imaging.
Of the group that underwent surgery for initial macular hole repair, anatomic closure was achieved in 13 of the 17 eyes (76.5%). In th group that underwent surgery for failed first time surgery, anatomic closure was achieved in 7 out of 10 eyes (70%).
Silicone Oil tamponade for Macular Hole repair (74%) is less effective has less effectiven than surgery with Gas tamponade (94% 1) . However, in select cases where patient is unable to position post operatively due to physical or mental health reasons or patients stated inability to maintain post operative position due to anxiety, Silicone Oil tamponade for both initial and repeat macular hole surgeries is and effective alternate to Gas.
This is a 2020 ARVO Annual Meeting abstract.
Full Thickness Macular Hole
Closed Macular Hole post Surgery
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