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New Surgical Technique for Management of Recurrent Macular Hole.

Abstract Recurrence of macular hole (MH) following the standard approach of pars plana vitrectomy, posterior hyaloids removal, internal limiting membrane peeling, gas tamponade, and postoperative positioning is a common postoperative complication following MH surgery. We present a new surgical technique which involves induction of serous macular detachment around the MH, parafoveal retinal massage to bring its edges closer, gas tamponade, and face down positioning. The recurrent MHs had closed in all four consecutive patients with a parallel gain in visual acuity following this technique. All patients had Type 1 closure of the MH indicating its closure without any defect of the neurosensory retina. The MHs remained closed during the follow-up without any late reopening.
PMID
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Authors

Mayor MeshTerms

Visual Acuity

Keywords

Macular detachment

macular hole surgery

recurrent macular hole

Journal Title middle east african journal of ophthalmology
Publication Year Start




PMID- 28546696
OWN - NLM
STAT- MEDLINE
DA  - 20170526
DCOM- 20170615
LR  - 20170615
IS  - 0975-1599 (Electronic)
IS  - 0974-9233 (Linking)
VI  - 24
IP  - 1
DP  - 2017 Jan-Mar
TI  - New Surgical Technique for Management of Recurrent Macular Hole.
PG  - 61-63
LID - 10.4103/meajo.MEAJO_211_15 [doi]
AB  - Recurrence of macular hole (MH) following the standard approach of pars plana
      vitrectomy, posterior hyaloids removal, internal limiting membrane peeling, gas
      tamponade, and postoperative positioning is a common postoperative complication
      following MH surgery. We present a new surgical technique which involves
      induction of serous macular detachment around the MH, parafoveal retinal massage 
      to bring its edges closer, gas tamponade, and face down positioning. The
      recurrent MHs had closed in all four consecutive patients with a parallel gain in
      visual acuity following this technique. All patients had Type 1 closure of the MH
      indicating its closure without any defect of the neurosensory retina. The MHs
      remained closed during the follow-up without any late reopening.
FAU - Mohammed, Osman Abdelzaher
AU  - Mohammed OA
AD  - Department of Surgery, Ophthalmology Section, Hamad Medical Corporation, Doha,
      Qatar.
FAU - Pai, Anant
AU  - Pai A
AD  - Department of Surgery, Ophthalmology Section, Hamad Medical Corporation, Doha,
      Qatar.
LA  - eng
PT  - Journal Article
PL  - India
TA  - Middle East Afr J Ophthalmol
JT  - Middle East African journal of ophthalmology
JID - 101521797
SB  - IM
MH  - Adult
MH  - Aged
MH  - Endotamponade/*methods
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Postoperative Period
MH  - Recurrence
MH  - Retina/*diagnostic imaging
MH  - Retinal Perforations/diagnosis/*surgery
MH  - Retrospective Studies
MH  - *Visual Acuity
MH  - Vitrectomy/*methods
PMC - PMC5433132
OTO - NOTNLM
OT  - Macular detachment
OT  - macular hole surgery
OT  - recurrent macular hole
COI - There are no conflicts of interest.
EDAT- 2017/05/27 06:00
MHDA- 2017/06/16 06:00
CRDT- 2017/05/27 06:00
AID - 10.4103/meajo.MEAJO_211_15 [doi]
AID - MEAJO-24-61 [pii]
PST - ppublish
SO  - Middle East Afr J Ophthalmol. 2017 Jan-Mar;24(1):61-63. doi:
      10.4103/meajo.MEAJO_211_15.