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Office-based intravitreal injection of expansile gas for management of macular hole in previously vitrectomized eyes
PURPOSE: To report the successful closure of full-thickness macular hole (MH), using an office-based intravitreal gas injection, in two eyes having undergone prior pars plana vitrectomy (PPV). OBSERVATIONS: Patient 1 presented with acute loss of visual acuity to 20/300 in the left eye 5 months follo...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6614528/ https://www.ncbi.nlm.nih.gov/pubmed/31334383 http://dx.doi.org/10.1016/j.ajoc.2019.100492 |
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author | Apolinario, Michael A. Lampen, Shaun I.R. Wong, Tien P. Henry, Christopher R. Wykoff, Charles C. |
author_facet | Apolinario, Michael A. Lampen, Shaun I.R. Wong, Tien P. Henry, Christopher R. Wykoff, Charles C. |
author_sort | Apolinario, Michael A. |
collection | PubMed |
description | PURPOSE: To report the successful closure of full-thickness macular hole (MH), using an office-based intravitreal gas injection, in two eyes having undergone prior pars plana vitrectomy (PPV). OBSERVATIONS: Patient 1 presented with acute loss of visual acuity to 20/300 in the left eye 5 months following PPV for fovea-off rhegmatogenous retinal detachment; MH was confirmed by examination and optical coherence tomography (OCT). 0.6 cc of 100% C3F8 gas was injected, with subsequent MH closure following one week of face-down positioning. Patient 2 presented with right eye visual acuity of 20/60 one month following PPV for optic nerve pit-associated maculopathy; MH was confirmed by examination and OCT. 0.85 cc of 100% C3F8 gas was injected in the office, with subsequent MH closure following one week of face-down positioning. CONCLUSIONS AND IMPORTANCE: MH management in previously vitrectomized eyes has traditionally been repeat PPV with internal limiting membrane peeling, fluid-air exchange, and expansile gas exchange. Intravitreal gas injection, in an office-based setting, is a viable clinical approach to close MH in some previously vitrectomized eyes. |
format | Online Article Text |
id | pubmed-6614528 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-66145282019-07-22 Office-based intravitreal injection of expansile gas for management of macular hole in previously vitrectomized eyes Apolinario, Michael A. Lampen, Shaun I.R. Wong, Tien P. Henry, Christopher R. Wykoff, Charles C. Am J Ophthalmol Case Rep Case Report PURPOSE: To report the successful closure of full-thickness macular hole (MH), using an office-based intravitreal gas injection, in two eyes having undergone prior pars plana vitrectomy (PPV). OBSERVATIONS: Patient 1 presented with acute loss of visual acuity to 20/300 in the left eye 5 months following PPV for fovea-off rhegmatogenous retinal detachment; MH was confirmed by examination and optical coherence tomography (OCT). 0.6 cc of 100% C3F8 gas was injected, with subsequent MH closure following one week of face-down positioning. Patient 2 presented with right eye visual acuity of 20/60 one month following PPV for optic nerve pit-associated maculopathy; MH was confirmed by examination and OCT. 0.85 cc of 100% C3F8 gas was injected in the office, with subsequent MH closure following one week of face-down positioning. CONCLUSIONS AND IMPORTANCE: MH management in previously vitrectomized eyes has traditionally been repeat PPV with internal limiting membrane peeling, fluid-air exchange, and expansile gas exchange. Intravitreal gas injection, in an office-based setting, is a viable clinical approach to close MH in some previously vitrectomized eyes. Elsevier 2019-07-05 /pmc/articles/PMC6614528/ /pubmed/31334383 http://dx.doi.org/10.1016/j.ajoc.2019.100492 Text en © 2019 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Apolinario, Michael A. Lampen, Shaun I.R. Wong, Tien P. Henry, Christopher R. Wykoff, Charles C. Office-based intravitreal injection of expansile gas for management of macular hole in previously vitrectomized eyes |
title | Office-based intravitreal injection of expansile gas for management of macular hole in previously vitrectomized eyes |
title_full | Office-based intravitreal injection of expansile gas for management of macular hole in previously vitrectomized eyes |
title_fullStr | Office-based intravitreal injection of expansile gas for management of macular hole in previously vitrectomized eyes |
title_full_unstemmed | Office-based intravitreal injection of expansile gas for management of macular hole in previously vitrectomized eyes |
title_short | Office-based intravitreal injection of expansile gas for management of macular hole in previously vitrectomized eyes |
title_sort | office-based intravitreal injection of expansile gas for management of macular hole in previously vitrectomized eyes |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6614528/ https://www.ncbi.nlm.nih.gov/pubmed/31334383 http://dx.doi.org/10.1016/j.ajoc.2019.100492 |
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