Outcomes of Outpatient Fluid-Gas Exchange for Open Macular Hole After Vitrectomy

Purpose To report the efficacy and safety of outpatient fluid-gas exchange for open macular hole after primary vitrectomy. Design Retrospective interventional case series. Methods setting : Institutional. patients : Thirty-six patients with primary failed closure or reopened holes after primary vitr...

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Bibliographic Details
Published in:American journal of ophthalmology 2013-08, Vol.156 (2), p.326-333.e1
Main Authors: Rao, Xi, Wang, Nan-Kai, Chen, Yen-Po, Hwang, Yih-Shiou, Chuang, Lan-Hsin, Liu, I-Chia, Chen, Kuan-Jen, Wu, Wei-Chi, Lai, Chi-Chun
Format: Article
Language:English
Subjects:
Adult
Aged
Endotamponade
Female
Fluorocarbons - administration & dosage
Follow-Up Studies
Glaucoma
Hospitals
Humans
Male
Middle Aged
Ophthalmology
Outpatients
Patients
Postoperative Complications
Recurrence
Retinal Perforations - diagnosis
Retinal Perforations - physiopathology
Retinal Perforations - surgery
Retrospective Studies
Software
Statistical analysis
Sulfur Hexafluoride - administration & dosage
Surgery
Surgical outcomes
Tomography, Optical Coherence
Treatment Failure
Treatment Outcome
Visual Acuity - physiology
Vitrectomy
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Summary:Purpose To report the efficacy and safety of outpatient fluid-gas exchange for open macular hole after primary vitrectomy. Design Retrospective interventional case series. Methods setting : Institutional. patients : Thirty-six patients with primary failed closure or reopened holes after primary vitrectomy. intervention : Fluid-gas excahnge with 15% perfluoropropane (C3 F8 ) or 20% sulfur hexafluoride (SF6 ) was performed to reclose the hole under topical anesthesia. main outcome measures : The hole closure rate and type, pre- and postexchange best-corrected visual acuity (BCVA), and complication rates were assessed. Results Thirty-two eyes (89%) achieved anatomic success from 1-3 weeks after the fluid-gas exchange. Twenty-two eyes (61%) achieved type 1 closure, 10 eyes (28%) achieved type 2 closure, and 4 eyes (11%) did not achieve closure. The BCVA for type 1 closure improved significantly from logarithm of the minimal angle of resolution (logMAR) 1.66 ± 0.41 to 0.84 ± 0.41, with a P value
ISSN:0002-9394
1879-1891
DOI:10.1016/j.ajo.2013.03.031