| The Effect of Gas Tamponade with Vitrectomy in Lamellar Macular Hole. |
|
Seung Hee Lee, Si Dong Kim, Yoon Young Kim |
1Nune Eye Hospital, Daegu, Korea.
2Department of Ophthalmology, Catholic University of Daegu School of Medicine, Daegu, Korea. yykim@cu.ac.kr |
| 표층황반원공에서 유리체절제술 시 가스충전술의 효과 |
|
이승희1⋅김시동2⋅김윤영2 |
|
누네안과병원1, 대구가톨릭대학교 의과대학 안과학교실2 |
|
Received: 12 February 2015 • Revised: 1 May 2015 • Accepted: 10 July 2015 |
| Abstract |
PURPOSE
To investigate the effect of gas tamponade with vitrectomy for lamellar macular hole. METHODS: This study included 18 eyes of 18 patients with lamellar macular hole who reported visual acuity loss or distorted vision. All patients underwent vitrectomy, epiretinal membrane removal and internal limiting membrane peeling. Intravitreal gas tamponade was performed only in 8 eyes of 8 patients. The patients were divided into 2 groups: 8 eyes in the gas tamponade with vitrectomy group and 10 eyes that did not receive gas tamponade in the control group. The best-corrected visual acuity (BCVA) and appearance based on optical coherence tomography (OCT) were obtained retrospectively. RESULTS: Epiretinal membranes were observed in all cases. Average visual acuity of the gas tamponade group improved from log MAR 0.50 +/- 0.24 to log MAR 0.25 +/- 0.14 (p = 0.041). In the control group, average visual acuity improved from log MAR 0.53 +/- 0.36 to log MAR 0.32 +/- 0.28 (p = 0.041), however, no significant difference was observed in visual acuity between the 2 groups (p = 0.584). Anatomical closure or normalized foveal contour after surgery was confirmed in 6 of 8 eyes in the gas tamponade group and in 7 of 10 eyes in the control group. No significant difference between the 2 groups was observed (p = 1.00). CONCLUSIONS: Gas tamponade combined with vitrectomy for lamellar macular hole did not affect postoperative anatomical and functional recovery. |
| Key Words:
Gas tamponade;Lamellar macular hole;Vitrectomy |
PDF Links
Full text via DOI
Download Citation
