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Graefes Arch Clin Exp Ophthalmol. 2009 May;247(5):707-9. doi: 10.1007/s00417-008-0965-6. Epub 2008 Oct 30.

Heavy silicone oil tamponade after failed macular hole surgery with perfluoropropane (C3F8): a report of five cases.

Author information

1
St. Paul's Eye Unit, Royal Liverpool University Hospital, Liverpool, UK. musmansaeed@aol.com

Abstract

We report five cases of persistent macular holes following conventional surgery. Subsequent management included pars plana vitrectomy, extended Trypan Blue-assisted ILM peel and heavy silicone oil (HSO) tamponade with supine posture.

PURPOSE:

To report results of redo macular hole surgery using heavy silicone oil (HSO) tamponade.

METHODS:

Retrospective study of patients with primary failure of macular hole surgery, who failed to posture prone due to medical reasons. Further surgery consisted of vitrectomy, extended-dye-assisted ILM peel, and HSO tamponade with supine posture.

RESULTS:

Anatomical closure of macular holes was achieved in three out of five cases with parallel improvement in visual acuity after 3 months of removal of heavy silicone oil. These were confirmed clinically and by ocular coherence tomography (OCT).

CONCLUSIONS:

HSO may be used as tamponade in patients with unsuccessful primary macular-hole surgery, negating the need of prone posturing post-operatively.

PMID:
18972124
DOI:
10.1007/s00417-008-0965-6
[Indexed for MEDLINE]

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