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Steven M. Cohen, MD, presents a patient with a two month history of vision loss from a macular hole. The pre-operative OCT scan showed a stage II macular hole with a diameter of about 250 microns. The scan did not show a taught internal limiting membrane. This surgery is done with a short acting sulfur hexafluoride gas and no internal limiting membrane peel. The patient positioned for a week after surgery (strict for 3 days). The hole closed and the vision has improved to 20/30 at 2 months. She had cataract surgery about 2 weeks before the vitrectomy in preparation for the macular hole surgery.
Posted: 9/20/2012
Steven M. Cohen, MD, presents a patient with a two month history of vision loss from a macular hole. The pre-operative OCT scan showed a stage II macular hole with a diameter of about 250 microns. The scan did not show a taught internal limiting membrane. This surgery is done with a short acting sulfur hexafluoride gas and no internal limiting membrane peel. The patient positioned for a week after surgery (strict for 3 days). The hole closed and the vision has improved to 20/30 at 2 months. She had cataract surgery about 2 weeks before the vitrectomy in preparation for the macular hole surgery.
Posted: 9/20/2012
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steven cohen
14 years ago
I would have gladly tried microplasmin if it were available. I waited about 6 weeks to see if this would close on it's own.
neeraj pandey
14 years ago
dear sir, i was wondering if you could share your experiences with microplasmin in such cases (where even only PVD works well) if you are doing.