Vitrectomy for Stage II Macular Hole Without ILM Peel

Show Description +

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

Keywords:

ILM Peeling

Macular Hole

Retina

Vitrectomy for Stage II Macular Hole Without ILM Peel

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

Keywords:

ILM Peeling

Macular Hole

Retina

Please log in to leave a comment.

Comments

steven cohen

13 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

13 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.

More in Retina

Staining Under Air

Frédéric Aissani, MD

Assessing Surgical Competency Among Retina Fellows: Perspectives from Directors and Graduates

Nikisha Kothari, MD; Jesse Sengillo, MD; and Nicholas Farber, MD

Anti-VEGF for Proliferative Sickle Cell Retinopathy

Maria Berrocal, MD and Jennifer Lim, MD

Spotlight on UNITY® VCS: UNITY for All

Sarwar Zahid, MD, FASRS; John W. Kitchens, MD; and Matthew A. Cunningham, MD, FASRS