| Treatment of Retinal Detachment with Macular Hole: Paracentesis, Subretinal Fluid Drainage and Intravitreal Gas Injection. |
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Hyeong Seog Choi, Sung Gyun Shin, Ill Han Yoon |
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Department of Ophthalmology, Pusan Paik Hospitals, College of Medicine, Inje University, Pusan, Korea. |
| 황반부 열공성 망막박리의 치료 - 전방천자 , 망막하액배출 및 초자체강내 가스주입술 - |
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최형석(Hyeong Seog Choi),신성균(Sung Gyun Shin),윤일한(Ill Han Yoon) |
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| Abstract |
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Six patients with macular hole and retinal detachment and no visible vitreoretinal connection examined by slitlamp and 3-mirror contact lens were treated by two methods. In two patients with relatively localized retinal detachment in central fundus, 0.7ml or more of pure SF6 gas was injected into vitreous cavity by 27 gauge needle after paracentesis was done because of keeping the large space of gas injection as preventmg the increase of lOP. In the remained 4 patients, 1.2ml or more of pure SF6 gas was injected into vitreous cavity after the subretinal fluid was released externally, and then paracentesis was done because of preventing the increase of lOP. After operation, all patients were placed in prone position for 6 hours or more in a day. In 5 of 6 patients, the retina remained attached duing more than 6 months. Even if 2 with posterior staphyloma in 6 patients were treated with two or more operations, 1 patient was failed. Although visual improvement at 6 months after operation was limited due to macular degeneration, the visual acuity were above 0.05 in 3 patients. This operation is simple and safe and not damaged en macula. This procedure is good surgical method in patients with retinal detachment wirh macular hole but without other breaks or visible vitreous adhesion or posterior staphyloma. |
| Key Words:
Intravitreal gas injection;Macular hole;Paracentesis;Retinal detachment;Subretinal fluid drainage |
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