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The inclusion criteria were any symptomatic VMT with deterioration of visual acuity of at least 2 Snellen lines and the duration of symptoms for at least 3 months (or less if the deterioration was very rapid, at least 2 or more Snellen lines in 0.5 months), and primary FTMH stage II according to Gass.
In 4 eyes with preoperative stage II primary FTMH (160-310 microns, mean 223 microns) from the C3F8 group, VMT release occurred in 4/4 (100%) eyes.
Since the advent of PPV to repair FTMH by Kelly and Wendell , closure rate of FTMH especially idiopathic ones has improved and reported to be in the range of 85 to 100% [11-14].
Caption: FIGURE 1: Optical coherence tomography (OCT) demonstrating the size of the large traumatic FTMH. There is an associated foveal retinal detachment around the traumatic macular hole.
Total 30 patients with idiopathic FTMH were selected from retina clinic in ophthalmology department of Jinnah Postgraduate Medical Center, Karachi, Pakistan from January 2015 to June 2016.After detailed history and ophthalmic examination (IOP measurement, Watzke Allen test, Amsler grid, fundoscopy using +90 Diopter lens and indirect ophthalmoscopy) patients who had clinically evident macular hole and after exclusion of other peripheral retinal tears were selected for 23 guage 3PPV.
In our research work we have used SF6 which is a short acting gas tamponade and observed hole closure even in medium to large size full thickness macular hole(FTMH) without specific head posturing so this gives confidence to a surgeon to use short acting gas like SF6 in medium to large FTMH.
a secondary FTMH. IVTS classifies FTMH by size with measurements taken
(1) The initial classification of FTMH is important as it is
Scott et al., "Vitrectomy with internal limiting membrane (ILM) peeling versus vitrectomy with no peeling for idiopathic full-thickness macular hole (FTMH)," Cochrane Database of Systematic Reviews, vol.
The images were evaluated with regard to the presence of VMI pathologies such as PVD, ERM, VMT, VMA, FTMH, LMH, and pseudohole.
This multicenter retrospective comparative study reviewed all medical records of patients with idiopathic FTMH treated with 25-gauge or 27-gauge TSV from January 2010 to April 2015.
Optical coherence tomography (Stratus 3 OCT, Zeiss Humphrey Instruments, Dublin, CA, USA) revealed a FTMH (Figure 2).
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