Journal of the Korean Ophthalmological Society 2004;45(3):451-456.
Published online March 1, 2004.
Comparison of Surgical Results for Idiopathic Macular Hole: Fluid-Gas Exchange vs. Fluid-Air Exchange.
Sang Hee Doh, Ki Seok Kim, Ki Bong Kim, Jin Seong Yoo
1Department of Ophthalmology, Catholic University College of Medicine, Kangnam St.Mary's Hospital, Korea.
2Open St.Mary's Eye Center, Seoul, Korea. dohurys1@freechal.com
특발성 황반원공 수술시 액체가스교환술과 액체공기교환술의 결과 비교
도상희 ( Do Sang Hui ) , 김기석 ( Kim Gi Seog ) , 김기봉 ( Kim Gi Bong ) , 유진성 ( Yu Jin Seong )
Abstract
PURPOSE
In pars plana vitrectomy for macular hole, internal limiting membrane (ILM) peeling, fluid-gas exchange, prone position for more than one week are generally needed. However, the authors modified these surgical procedures. After vitrectomy, we performed ILM peeling with Indocyanine green (ICG) dye and fluid air exchange and kept the patient prone position for one day. We then compare the clinical results and analyze possible factors affecting surgical outcomes. METHODS: Data were reviewed from a retrospective study on Group I, form whom vitrectomy, fluid gas exchange, and ILM peeling without ICG were completed, and on Group II, for whom vitrectomy, fluid air exchange, and ILM peeling with ICG were completed. We evaluated the anatomical and functional success statistically. RESULTS: The anatomical success rate was 79% and 94% and the functional success rate was 42% and 88% in groups I and II respectively. Furthermore, preoperative visual acuity significantly affected the visual outcome. CONCLUSIONS: Without having to maintainl face-down position for a long time, successful anatomical and functional outcomes were obtained through fluid air exchange and prone position for one day. This result suggests that complete ILM peeling with ICG shortens the required duration of tamponade and allows for less stringent maintenance of face-down position.
Key Words: Fluid air exchange;Indocyanine green;Internal limiting membrane;Macular hole;Prone position


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