Comparison of Intraocular Tamponade in Patients with Peripheral Tear-Induced Retinal Detachment and Coexisting Macular Hole without High Myopia.

Autor: Ozturk Y; Ophthalmology, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey., Ağın A; Ophthalmology, Haseki Education Research Hospital, Haseki Fatih, Istanbul, Turkey., Yucel Gencoglu A; Ophthalmology, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey., Talan M; Ophthalmology, Kartal City Hospital, Istanbul, Turkey., Bulut MN; Ophthalmology, Kartal City Hospital, Istanbul, Turkey.
Jazyk: angličtina
Zdroj: Klinische Monatsblatter fur Augenheilkunde [Klin Monbl Augenheilkd] 2023 Jul; Vol. 240 (7), pp. 897-902. Date of Electronic Publication: 2022 Oct 27.
DOI: 10.1055/a-1969-0310
Abstrakt: Introduction: To introduce the surgical results and examine the effect of intraocular tamponades on surgical outcomes in patients with coexisting macular hole (MH) and rhegmatogenous retinal detachment (RRD) without high myopia.
Methods: This retrospective, cross-sectional, two-center study was carried out with 29 eyes of 29 patients. The patients were divided into two groups according to the intraocular tamponade used in surgery: silicone oil (Group 1) and C 3 F 8 gas (Group 2). In all patients, the internal limiting membrane was peeled during surgery. Exclusion criteria were determined as RRD with MH due to high myopia (≥ 6 D) without peripheral retinal tears and traumatic MH.
Results: In Group 1, the median preoperative best-corrected visual acuity (BCVA) was 3.0 (M ± SD: 2.85 ± 0.27) logMAR, while the median postoperative BCVA was 1.0 (M ± SD: 1.39 ± 0.83) logMAR (p < 0.001). In Group 2, the median preoperative BCVA was 3.0 (M ± SD: 2.37 ± 0.93) logMAR, while the median postoperative BCVA was 0.76 (M ± SD: 1.06 ± 0.86) logMAR (p = 0.008). The retinal attachment success rate was 15/17 (89.3%) in Group 1, and 11/12 (91.7%) in Group 2 (p = 0.64). The MH closure rate was 12/17 (71.6%) in Group 1, and 10/12 (78.1%) in Group 2 (p = 0.52). No difference was determined between the groups in terms of preoperative and postoperative BCVA, preoperative and postoperative intraocular pressure, and BCVA improvement.
Conclusions: The study results showed no significant difference between using silicone oil or C 3 F 8 gas as an intraocular tamponade after internal limiting membrane peeling in patients with RRD due to peripheral tear with coexisting MH.
Competing Interests: The authors declare that they have no conflict of interest.
(Thieme. All rights reserved.)
Databáze: MEDLINE
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