Macular hole surgery with short-acting gas and short-duration face-down positioning

Tina Xirou,1 Panagiotis G Theodossiadis,2 Michael Apostolopoulos,3 A Stamatina Kabanarou,1 Elias Feretis,1 Ioannis D Ladas,3 Chrysanthi Koutsandrea31Vitreoretinal Unit, Red Cross Hospital, 2B Department of Ophthalmology, University of Athens, Greece; 3A Department of Ophthalmology, University of Ath...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Xirou T, Theodossiadis PG, Apostolopoulos M, Kabanarou SA, Feretis E, Ladas ID, Koutsandrea C
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2012
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/2d0ef6a9cd134adeb2fd6e0c1f77782c
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:2d0ef6a9cd134adeb2fd6e0c1f77782c
record_format	dspace
spelling	oai:doaj.org-article:2d0ef6a9cd134adeb2fd6e0c1f77782c2021-12-02T05:55:07ZMacular hole surgery with short-acting gas and short-duration face-down positioning1177-54671177-5483https://doaj.org/article/2d0ef6a9cd134adeb2fd6e0c1f77782c2012-07-01T00:00:00Zhttp://www.dovepress.com/macular-hole-surgery-with-short-acting-gas-and-short-duration-face-dow-a10470https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Tina Xirou,1 Panagiotis G Theodossiadis,2 Michael Apostolopoulos,3 A Stamatina Kabanarou,1 Elias Feretis,1 Ioannis D Ladas,3 Chrysanthi Koutsandrea31Vitreoretinal Unit, Red Cross Hospital, 2B Department of Ophthalmology, University of Athens, Greece; 3A Department of Ophthalmology, University of Athens, GreecePurpose: To report on the outcomes of vitrectomy and sulfur hexafluoride (SF6) gas tamponade for idiopathic macular holes with 2 days of face-down positioning.Patients and methods: This was a prospective, nonrandomized, observational sequential case-series study on 23 consecutive patients receiving macular hole surgery using 20% SF6 and advised to stay in a face-down position for 2 days postoperatively (SF6 group). These patients were compared to 23 consecutive patients who had previously undergone macular hole surgery, had received 14% C3F8, and were advised to maintain a face-down position for 2 days (C3F8 group). Patients in both groups underwent vitrectomy, internal limiting membrane peeling, and fluid gas exchange using either SF6 or C3F8. Preoperative and postoperative data included best corrected visual acuity recorded in LogMAR units, slit-lamp biomicroscopy, and optical coherence tomography.Results: At a 6-month follow-up, macular hole closure was noted in 23/23 eyes (100%) and in 22/23 eyes (96%) in the SF6 and C3F8 groups, respectively. The improvement in visual acuity (measured through Snellen acuity lines both preoperatively until 6 months postoperatively) was 4.08 &plusmn; 2.31 (95% confidence interval [CI]: 3.08&ndash;5.08) for the SF6 group and 2.87 &plusmn; 2.30&nbsp;(95% CI: 1.87&ndash;3.86) for the C3F8 group; this difference was not statistically significant (P = 0.06).Conclusion: Vitrectomy with internal limiting membrane peeling and a short-acting gas tamponade using SF6 with posture limitation for 2 days may give a high success rate in macular hole surgery.Keywords: idiopathic macular holes, SF6 gas tamponade, C3F8 gas tamponadeXirou TTheodossiadis PGApostolopoulos MKabanarou SAFeretis ELadas IDKoutsandrea CDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2012, Iss default, Pp 1107-1112 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Xirou T Theodossiadis PG Apostolopoulos M Kabanarou SA Feretis E Ladas ID Koutsandrea C Macular hole surgery with short-acting gas and short-duration face-down positioning
description	Tina Xirou,1 Panagiotis G Theodossiadis,2 Michael Apostolopoulos,3 A Stamatina Kabanarou,1 Elias Feretis,1 Ioannis D Ladas,3 Chrysanthi Koutsandrea31Vitreoretinal Unit, Red Cross Hospital, 2B Department of Ophthalmology, University of Athens, Greece; 3A Department of Ophthalmology, University of Athens, GreecePurpose: To report on the outcomes of vitrectomy and sulfur hexafluoride (SF6) gas tamponade for idiopathic macular holes with 2 days of face-down positioning.Patients and methods: This was a prospective, nonrandomized, observational sequential case-series study on 23 consecutive patients receiving macular hole surgery using 20% SF6 and advised to stay in a face-down position for 2 days postoperatively (SF6 group). These patients were compared to 23 consecutive patients who had previously undergone macular hole surgery, had received 14% C3F8, and were advised to maintain a face-down position for 2 days (C3F8 group). Patients in both groups underwent vitrectomy, internal limiting membrane peeling, and fluid gas exchange using either SF6 or C3F8. Preoperative and postoperative data included best corrected visual acuity recorded in LogMAR units, slit-lamp biomicroscopy, and optical coherence tomography.Results: At a 6-month follow-up, macular hole closure was noted in 23/23 eyes (100%) and in 22/23 eyes (96%) in the SF6 and C3F8 groups, respectively. The improvement in visual acuity (measured through Snellen acuity lines both preoperatively until 6 months postoperatively) was 4.08 &plusmn; 2.31 (95% confidence interval [CI]: 3.08&ndash;5.08) for the SF6 group and 2.87 &plusmn; 2.30&nbsp;(95% CI: 1.87&ndash;3.86) for the C3F8 group; this difference was not statistically significant (P = 0.06).Conclusion: Vitrectomy with internal limiting membrane peeling and a short-acting gas tamponade using SF6 with posture limitation for 2 days may give a high success rate in macular hole surgery.Keywords: idiopathic macular holes, SF6 gas tamponade, C3F8 gas tamponade
format	article
author	Xirou T Theodossiadis PG Apostolopoulos M Kabanarou SA Feretis E Ladas ID Koutsandrea C
author_facet	Xirou T Theodossiadis PG Apostolopoulos M Kabanarou SA Feretis E Ladas ID Koutsandrea C
author_sort	Xirou T
title	Macular hole surgery with short-acting gas and short-duration face-down positioning
title_short	Macular hole surgery with short-acting gas and short-duration face-down positioning
title_full	Macular hole surgery with short-acting gas and short-duration face-down positioning
title_fullStr	Macular hole surgery with short-acting gas and short-duration face-down positioning
title_full_unstemmed	Macular hole surgery with short-acting gas and short-duration face-down positioning
title_sort	macular hole surgery with short-acting gas and short-duration face-down positioning
publisher	Dove Medical Press
publishDate	2012
url	https://doaj.org/article/2d0ef6a9cd134adeb2fd6e0c1f77782c
work_keys_str_mv	AT xirout macularholesurgerywithshortactinggasandshortdurationfacedownpositioning AT theodossiadispg macularholesurgerywithshortactinggasandshortdurationfacedownpositioning AT apostolopoulosm macularholesurgerywithshortactinggasandshortdurationfacedownpositioning AT kabanarousa macularholesurgerywithshortactinggasandshortdurationfacedownpositioning AT feretise macularholesurgerywithshortactinggasandshortdurationfacedownpositioning AT ladasid macularholesurgerywithshortactinggasandshortdurationfacedownpositioning AT koutsandreac macularholesurgerywithshortactinggasandshortdurationfacedownpositioning
_version_	1718400162449063936

Macular hole surgery with short-acting gas and short-duration face-down positioning

Ejemplares similares