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Outcome of surgery for macular hole retinal detachment as related to tamponade substances Toshimitsu Ishiguro 1 , Tadashi Nakauchi 1 , Yuta Nakamichi 1 , Akiko Arisawa 1 , Haruhiko Yamada 1 , Kanji Takahashi 1 1Dept of Ophthalmol, Kansai Med Univ pp.385-390
Published Date 2015/3/15
DOI https://doi.org/10.11477/mf.1410211267
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Abstract. Purpose:To report the outcome of surgery for macular hole retinal detachment using either of 3 tamponade substances. Cases and Method:This retrospective study was made on 43 eyes of 43 cases that received surgery for macular hole retinal detachment in the past 8 years. The series comprised 5 males and 38 females. The age ranged from 53 to 84 years, average 69 years. All the eyes had high myopia and received vitrectomy with peeling of internal limiting membrane. Sulfur hexafluoride(SF6)was used in 11 eyes for tamponade, propane fluoride(C3F8)in 20 eyes, and silicone oil in 12 eyes. Surgical outcome was evaluated after an average of 31 months. Results:The retina became reattached in 35 eyes(81%)after initial surgery. No significant difference was present among the 3 groups regarding:rate of initial reattachment, closure of macular hole, changes in visual acuity, or the axial length. Duration of prone positioning after surgery was significantly shorter in eyes that received sulfur hexafluoride. Conclusion:Outcome of initial surgery for macular hole retinal detachment was not dependent on the tamponade substances. Cases receiving sulfur hexafluoride showed shorter duration of prone positioning after surgery.


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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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