Optical coherence tomography evaluation of idiopathic macular hole treatment by gas-assisted posterior vitreous detachment.
作者信息
Costa R A, Cardillo J A, Morales P H, Jorge R, Uno F, Farah M E
机构信息
Department of Ophthalmology, Federal University of São Paulo-Paulista School of Medicine, São Paulo, Brazil.
出版信息
Am J Ophthalmol. 2001 Aug;132(2):264-6. doi: 10.1016/s0002-9394(00)00903-x.
PURPOSE
To report a case of idiopathic macular hole, with vitreoretinal traction confirmed by optical coherence tomography that was successfully treated by a single intravitreous perfluoropropane (C(3)F(8)) gas bubble injection.
METHODS
Case report. A 65-year-old patient with idiopathic macular hole (stage 2, one eye) received an intravitreous gas injection and was prospectively followed with optical coherence tomography.
RESULTS
A complete posterior vitreous detachment was achieved within 6 weeks after gas injection. Visual acuity improved from 20/80 to 20/25 by 10 months of follow-up. Optical coherence tomography disclosed vitreoretinal traction release and macular hole closure. No complications were related to the procedure.
CONCLUSION
This simple procedure can assist a complete posterior vitreous detachment with relief of the hyaloid-foveolar traction, facilitating macular hole closure.
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