The 2 Cases of Surgical Treatment for Retinal Detachment with Macular Hole after Ocular Trauma.

Kwak, Hyung Won; Kim, Jai Suk; Lee, Joo Hwa; Yoo, Jin Hyung

Original Article

Journal of the Korean Ophthalmological Society 1997;38(8):1486-1493.
Published online August 1, 1997.

The 2 Cases of Surgical Treatment for Retinal Detachment with Macular Hole after Ocular Trauma.

Hyung Won Kwak, Jai Suk Kim, Joo Hwa Lee, Jin Hyung Yoo

Department of Ophthalmology, Inje University Sanggye Paik Hospital, Seoul Paik Hospital, Seoul, Korea.

안외상후 발생한 황반원공 망막박리에 대한 수술적 처치 2례

곽형원(Hyung Won Kwak),김재석(Jae Suk Kim),이주화(Joo Hwa Lee),유진형(Jin Hyung Yoo)

Abstract

In two patients with macular hole, retinal detachment in the posterior pole and commotio retinae, we performed pars plana vitrectomy, fluid-air exchange, intravitreal injection and removal of 0.04cc autologous serum, and air-gas exchange. These patients absolutely maintained prone position during the two-week postoperative period. As a result, anatomical and functional success about macular hole was accomplished in both cases through a long term of observation over a year. In traumatic macular hole with retinal detachment, we suppose that anatomical and functional success will be accomplished through pars plana vitrectomy, intravitreal injection and removal of autologous serum and gas injection into the vitreous cavity.

Key Words: Autologous serum;Gas injection;Macular hole;Retinal detachment;Trauma;Vitrectomy