Office-based intravitreal injection of expansile gas for management of macular hole in previously vitrectomized eyes

Michael A. Apolinario, Shaun I.R. Lampen, Tien P. Wong, Christopher R. Henry, Charles C. Wykoff

Research output: Contribution to journalArticle

Abstract

Purpose: To report the successful closure of full-thickness macular hole (MH), using an office-based intravitreal gas injection, in two eyes having undergone prior pars plana vitrectomy (PPV). Observations: Patient 1 presented with acute loss of visual acuity to 20/300 in the left eye 5 months following PPV for fovea-off rhegmatogenous retinal detachment; MH was confirmed by examination and optical coherence tomography (OCT). 0.6 cc of 100% C3F8 gas was injected, with subsequent MH closure following one week of face-down positioning. Patient 2 presented with right eye visual acuity of 20/60 one month following PPV for optic nerve pit-associated maculopathy; MH was confirmed by examination and OCT. 0.85 cc of 100% C3F8 gas was injected in the office, with subsequent MH closure following one week of face-down positioning. Conclusions and importance: MH management in previously vitrectomized eyes has traditionally been repeat PPV with internal limiting membrane peeling, fluid-air exchange, and expansile gas exchange. Intravitreal gas injection, in an office-based setting, is a viable clinical approach to close MH in some previously vitrectomized eyes.

Original languageEnglish (US)
Article number100492
JournalAmerican Journal of Ophthalmology Case Reports
Volume15
DOIs
StatePublished - Sep 2019

Keywords

  • Intravitreal gas injection
  • Macular hole
  • Pars plana vitrectomy

ASJC Scopus subject areas

  • Ophthalmology

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