Journal of the Korean Ophthalmological Society 1989;30(4):571-573.
Published online April 1, 1989.
Treatment of Retinal Detachment With Macular Hole: drainage of subretinal fluid and intravitreal gas injection.
Sung Pyo Hong, In Taek Kim, Si Yeol Kim, Sang Ha Kim
Department of Ophthalmology, School of Medicine, Kyungpook National University, Taegu, Korea.
황반부열공 망막박리의 치료 - 망막하액유출후 초자체강내 가스주입술 -
홍승표(Sung Pyo Hong),김인택(In Taek Kim),김시열(Si Yeol Kim),김상하(Sang Ha Kim)
Abstract
Four cases of retinal detachment with macular hole and no posterior vitreoretinal connections were treated successfully by draining subretinal fluid externally, injecting sulfur hexafluoride gas into the vitreous cavity, and then keeping the patient in a prone position. And in all four cases, the retina remained attached during follow-up periods of 6 months or longer. This approach is simple, easy, and safe. Moreover, it brings good functional success because the macula is preserved. This approach must be the treatment of choice in retinal detachments with macular hole but without other breaks or vitreous adhesion.
Key Words: intravitreal gas-injection;macular hole;retinal detachment


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