Treatment of idiopathic macular hole with silicone oil tamponade

Biljana Ivanovska-Adjievska,1 Salih Boskurt,1 Faruk Semiz,1 Hakan Yuzer,1 Vesna Dimovska-Jordanova21European Eye Hospital, Skopje, Macedonia, 2Clinic for Eye Diseases, University &quot;St Cyril and Methodius&quot;, Skopje, MacedoniaPurpose: We analyzed the anatomical and visual outco...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Ivanovska-Adjievska B, Boskurt S, Semiz F, Yuzer H, Dimovska-Jordanova V
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2012
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/7f13091235664fb1825779786498490d
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:7f13091235664fb1825779786498490d
record_format	dspace
spelling	oai:doaj.org-article:7f13091235664fb1825779786498490d2021-12-02T08:37:48ZTreatment of idiopathic macular hole with silicone oil tamponade1177-54671177-5483https://doaj.org/article/7f13091235664fb1825779786498490d2012-09-01T00:00:00Zhttp://www.dovepress.com/treatment-of-idiopathic-macular-hole-with-silicone-oil-tamponade-a10924https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Biljana Ivanovska-Adjievska,1 Salih Boskurt,1 Faruk Semiz,1 Hakan Yuzer,1 Vesna Dimovska-Jordanova21European Eye Hospital, Skopje, Macedonia, 2Clinic for Eye Diseases, University &quot;St Cyril and Methodius&quot;, Skopje, MacedoniaPurpose: We analyzed the anatomical and visual outcomes after surgical treatment of idiopathic macular holes with pars plana vitrectomy, internal limiting membrane (ILM) peeling using Brilliant Blue dye, and silicone oil tamponade without postoperative posturing.Methods: This was a retrospective interventional study of 10 eyes in eight patients who underwent surgical treatment of idiopathic macular holes using pars plana vitrectomy, ILM peeling using Brilliant Blue dye, and silicone oil tamponade without postoperative posturing. The preoperative staging of macular holes and postoperative anatomic outcomes were assessed using spectral-domain optical coherence tomography.Results: All patients were women with a mean age of 66.86 &plusmn; 4.8 years. In two patients, bilateral macular holes were present and both eyes were operated on. Stage 2 macular hole was diagnosed in three eyes, three eyes had stage 3, and four eyes had stage 4 macular holes. Anatomical success and closure of the macular hole was achieved in nine eyes (90%) after one operation. In one eye, the macular hole was closed after reoperation. The preoperative mean best-corrected visual acuity (BCVA) was 0.15 decimal units (0.8 logMAR units). Until the end of the follow-up period, BCVA was 0.25 decimal units (0.6 logMAR units). Visual acuity was improved in seven patients (70%). In two patients (20%), visual acuity remained at the same level, and in one eye (10%), visual acuity decreased. Postoperatively, all patients reported a significant reduction of metamorphopsia.Conclusion: Initial results after 20G pars plana vitrectomy with peeling of the ILM, use of dye (Brilliant Blue), and tamponade with silicone oil without postoperative posturing gave good anatomical and functional outcome in terms of visual acuity and reduction of metamorphopsia. Taking into account the age of the patients, this method, which does not require prolonged postoperative face-down posturing, was well tolerated by the patients. Because the anatomical and visual outcome as well as the rate of postoperative complications are comparable to those when gas is used as a tamponading agent, silicone oil tamponade can also be safely used as a first option in surgery of macular holes. However, a longer period of follow-up of the operated eyes, as well as a larger group of operated eyes, will be required to identify long-term outcomes of this surgical treatment.Keywords: macular hole, silicone oil, ILM peeling, pars plana vitrectomyIvanovska-Adjievska BBoskurt SSemiz FYuzer HDimovska-Jordanova VDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2012, Iss default, Pp 1449-1454 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Ivanovska-Adjievska B Boskurt S Semiz F Yuzer H Dimovska-Jordanova V Treatment of idiopathic macular hole with silicone oil tamponade
description	Biljana Ivanovska-Adjievska,1 Salih Boskurt,1 Faruk Semiz,1 Hakan Yuzer,1 Vesna Dimovska-Jordanova21European Eye Hospital, Skopje, Macedonia, 2Clinic for Eye Diseases, University &quot;St Cyril and Methodius&quot;, Skopje, MacedoniaPurpose: We analyzed the anatomical and visual outcomes after surgical treatment of idiopathic macular holes with pars plana vitrectomy, internal limiting membrane (ILM) peeling using Brilliant Blue dye, and silicone oil tamponade without postoperative posturing.Methods: This was a retrospective interventional study of 10 eyes in eight patients who underwent surgical treatment of idiopathic macular holes using pars plana vitrectomy, ILM peeling using Brilliant Blue dye, and silicone oil tamponade without postoperative posturing. The preoperative staging of macular holes and postoperative anatomic outcomes were assessed using spectral-domain optical coherence tomography.Results: All patients were women with a mean age of 66.86 &plusmn; 4.8 years. In two patients, bilateral macular holes were present and both eyes were operated on. Stage 2 macular hole was diagnosed in three eyes, three eyes had stage 3, and four eyes had stage 4 macular holes. Anatomical success and closure of the macular hole was achieved in nine eyes (90%) after one operation. In one eye, the macular hole was closed after reoperation. The preoperative mean best-corrected visual acuity (BCVA) was 0.15 decimal units (0.8 logMAR units). Until the end of the follow-up period, BCVA was 0.25 decimal units (0.6 logMAR units). Visual acuity was improved in seven patients (70%). In two patients (20%), visual acuity remained at the same level, and in one eye (10%), visual acuity decreased. Postoperatively, all patients reported a significant reduction of metamorphopsia.Conclusion: Initial results after 20G pars plana vitrectomy with peeling of the ILM, use of dye (Brilliant Blue), and tamponade with silicone oil without postoperative posturing gave good anatomical and functional outcome in terms of visual acuity and reduction of metamorphopsia. Taking into account the age of the patients, this method, which does not require prolonged postoperative face-down posturing, was well tolerated by the patients. Because the anatomical and visual outcome as well as the rate of postoperative complications are comparable to those when gas is used as a tamponading agent, silicone oil tamponade can also be safely used as a first option in surgery of macular holes. However, a longer period of follow-up of the operated eyes, as well as a larger group of operated eyes, will be required to identify long-term outcomes of this surgical treatment.Keywords: macular hole, silicone oil, ILM peeling, pars plana vitrectomy
format	article
author	Ivanovska-Adjievska B Boskurt S Semiz F Yuzer H Dimovska-Jordanova V
author_facet	Ivanovska-Adjievska B Boskurt S Semiz F Yuzer H Dimovska-Jordanova V
author_sort	Ivanovska-Adjievska B
title	Treatment of idiopathic macular hole with silicone oil tamponade
title_short	Treatment of idiopathic macular hole with silicone oil tamponade
title_full	Treatment of idiopathic macular hole with silicone oil tamponade
title_fullStr	Treatment of idiopathic macular hole with silicone oil tamponade
title_full_unstemmed	Treatment of idiopathic macular hole with silicone oil tamponade
title_sort	treatment of idiopathic macular hole with silicone oil tamponade
publisher	Dove Medical Press
publishDate	2012
url	https://doaj.org/article/7f13091235664fb1825779786498490d
work_keys_str_mv	AT ivanovskaadjievskab treatmentofidiopathicmacularholewithsiliconeoiltamponade AT boskurts treatmentofidiopathicmacularholewithsiliconeoiltamponade AT semizf treatmentofidiopathicmacularholewithsiliconeoiltamponade AT yuzerh treatmentofidiopathicmacularholewithsiliconeoiltamponade AT dimovskajordanovav treatmentofidiopathicmacularholewithsiliconeoiltamponade
_version_	1718398423232675840

Treatment of idiopathic macular hole with silicone oil tamponade

Ejemplares similares