Air-Liquid Exchange by Free Hand and One Needle for Unhealed Macular Hole

Aim. To report the treatment of 7 cases of unsealed hole after macular hole surgery with air-fluid exchange. Methods. Retrospective case series. We collected 7 eyes of 7 patients with unsealed hole an unsealed hole about 2 weeks after macular hole surgery (23G vitrectomy with internal limiting membr...

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Main Authors: Haishuang Lin, Yiting Ji, Luqi Xia, Bo Lin, Zhihua Li, Zhixiang Hu, Ronghan Wu
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2022/3052366
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author Haishuang Lin
Yiting Ji
Luqi Xia
Bo Lin
Zhihua Li
Zhixiang Hu
Ronghan Wu
author_facet Haishuang Lin
Yiting Ji
Luqi Xia
Bo Lin
Zhihua Li
Zhixiang Hu
Ronghan Wu
author_sort Haishuang Lin
collection DOAJ
description Aim. To report the treatment of 7 cases of unsealed hole after macular hole surgery with air-fluid exchange. Methods. Retrospective case series. We collected 7 eyes of 7 patients with unsealed hole an unsealed hole about 2 weeks after macular hole surgery (23G vitrectomy with internal limiting membrane peeling with sterilizing air tamponade) in our hospital from February 2018 to December 2018. All patients underwent “air-liquid exchange by free hand and one needle.” The prone position was taken one week after operation. The macular holes before and after operation were examined by frequency-domain optical coherence tomography (SD-OCT). Results. The size of the macular hole before vitrectomy was 481 ± 156 μm (range: 281–609 μm). Two weeks after vitrectomy (before air and liquid exchange), the size of the macular hole was 295 ± 92 μm (range: 210–421 μm). All macular holes were closed within 7–14 days after air-liquid exchange. There was no complaint of discomfort among these patients. Conclusion. From this preliminary study, air-liquid exchange by free hand and one needle seems to be safe and effective in the treatment for patients with unsealed and tiny macular hole after vitrectomy as the lack of long effective gas in China. However, the exact efficacy and safety need further large case studies.
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institution Kabale University
issn 2090-0058
language English
publishDate 2022-01-01
publisher Wiley
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series Journal of Ophthalmology
spelling doaj-art-4c4508f1e94744a6951623b8637d347a2025-02-03T06:05:32ZengWileyJournal of Ophthalmology2090-00582022-01-01202210.1155/2022/3052366Air-Liquid Exchange by Free Hand and One Needle for Unhealed Macular HoleHaishuang Lin0Yiting Ji1Luqi Xia2Bo Lin3Zhihua Li4Zhixiang Hu5Ronghan Wu6School of Ophthalmology and OptometrySchool of Ophthalmology and OptometrySchool of Ophthalmology and OptometryEye Hospital of Wenzhou Medical UniversitySchool of Ophthalmology and OptometryEye Hospital of Wenzhou Medical UniversityEye Hospital of Wenzhou Medical UniversityAim. To report the treatment of 7 cases of unsealed hole after macular hole surgery with air-fluid exchange. Methods. Retrospective case series. We collected 7 eyes of 7 patients with unsealed hole an unsealed hole about 2 weeks after macular hole surgery (23G vitrectomy with internal limiting membrane peeling with sterilizing air tamponade) in our hospital from February 2018 to December 2018. All patients underwent “air-liquid exchange by free hand and one needle.” The prone position was taken one week after operation. The macular holes before and after operation were examined by frequency-domain optical coherence tomography (SD-OCT). Results. The size of the macular hole before vitrectomy was 481 ± 156 μm (range: 281–609 μm). Two weeks after vitrectomy (before air and liquid exchange), the size of the macular hole was 295 ± 92 μm (range: 210–421 μm). All macular holes were closed within 7–14 days after air-liquid exchange. There was no complaint of discomfort among these patients. Conclusion. From this preliminary study, air-liquid exchange by free hand and one needle seems to be safe and effective in the treatment for patients with unsealed and tiny macular hole after vitrectomy as the lack of long effective gas in China. However, the exact efficacy and safety need further large case studies.http://dx.doi.org/10.1155/2022/3052366
spellingShingle Haishuang Lin
Yiting Ji
Luqi Xia
Bo Lin
Zhihua Li
Zhixiang Hu
Ronghan Wu
Air-Liquid Exchange by Free Hand and One Needle for Unhealed Macular Hole
Journal of Ophthalmology
title Air-Liquid Exchange by Free Hand and One Needle for Unhealed Macular Hole
title_full Air-Liquid Exchange by Free Hand and One Needle for Unhealed Macular Hole
title_fullStr Air-Liquid Exchange by Free Hand and One Needle for Unhealed Macular Hole
title_full_unstemmed Air-Liquid Exchange by Free Hand and One Needle for Unhealed Macular Hole
title_short Air-Liquid Exchange by Free Hand and One Needle for Unhealed Macular Hole
title_sort air liquid exchange by free hand and one needle for unhealed macular hole
url http://dx.doi.org/10.1155/2022/3052366
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