Vitrectomy for Stage II Macular Hole Without ILM Peel

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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

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

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Comments

steven cohen

12 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.

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