Reoperation for unclosed large macular holes following primary vitrectomy with wide internal limiting membrane peel

• Main Authors: Patel Gordon-Bennett, Sara Padroni, Shamfa Peart, P Ray Chaudhuri
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2018-01-01
• Series: Journal of Clinical Ophthalmology and Research
• Subjects: Failed closure; internal limiting membrane; macular hole; reoperation
• Online Access: http://www.jcor.in/article.asp?issn=2320-3897;year=2018;volume=6;issue=1;spage=26;epage=29;aulast=Gordon-Bennett

There are few methods for closing a full-thickness macular hole after primary vitrectomy and wide dye-assisted internal limiting membrane peel (ILM) fails. We report the anatomic and visual success rate of reoperation for large unclosed macular holes using macular fluid drainage and sulfur hexafluoride (SF6) tamponade. A retrospective study of patients with primary failure of vitrectomy with wide ILM peel for large macular holes was conducted. Further surgery consisted of vitrectomy, drainage of fluid within the macular hole, and SF6 tamponade. Anatomical closure was achieved in five out of seven cases with improvement in visual acuity. The two unclosed holes were originally> 950 um in basal diameter. Intraoperative macular fluid drainage and SF6 tamponade may be used successfully in surgery for large, unclosed macular holes following primary failure of macular hole surgery with wide ILM peel.