|
مقاله
|
Abstract
|
|
|
|
Title:
|
Macular hole formation after removal of retained subfoveal perfluorocarbon liquid
|
|
Author(s):
|
Alireza Ramezani, Amirreza Veisi, Siamak Moradian, Homayoon Nikkhah
|
|
Presentation Type:
|
Poster
|
|
Subject:
|
Posterior Segment and Uveitis
|
|
Others:
|
|
|
Presenting Author:
|
|
|
Name:
|
Alireza Ramezani
|
|
Affiliation :(optional)
|
Shahid Beheshti University of Medical Sciences (SBUMS).
|
|
E mail:
|
arramezani@gmail.com
|
|
Phone:
|
22728012
|
|
Mobile:
|
09121152645
|
|
|
|
|
Purpose:
|
To report a case with a macular hole (MH) formation after a failed displacement of retained subfoveal perfluorocarbon liquid (PFCL) that was successfully managed by another operation.
|
|
Methods:
|
A 63-year-old gentleman who had been primarily undergone vitrectomy plus silicone oil for management of pseudophakic rhegmatogenous RD, developed retained subfoveal PFCL. The method of displacement of subfoveal PFCL was selected but could not be performed thoroughly and led to a full thickness MH.
|
|
Results:
|
Despite a totally attached retina, the patient was not satisfied with his vision (3 m CF) because of retained PFCL. During formation of a therapeutic macular detachment to displace subfoveal PFCL in the second intervention, the PFCL bubble unexpectedly popped up through a spontaneous MH. Postoperatively, vision did not improve and a full thickness MH was detected. Another surgery with ILMpeeling plus gas tamponade was performed and resulted in MH closure and 20/80 vision.
|
|
Conclusion:
|
Since the retinal tissue overlying a subfoveal PFCL bubble is extremely thin, induction of a therapeutic macular detachment in order to displace the PFCL bubble may unintentionally lead to bubble egress from the fovea and postoperative MH formation. However, this complication can be managed successfully with a standard surgery for a full thickness MH.
|
|
Attachment:
|
5242Subfovela PFCL for IRSO 94.pptx
|
|