Skip to main content

Advertisement

SpringerLink
Log in

Better success of retinal reattachment with long-standing gas tamponade in highly myopic eyes

  • Clinical Investigation
  • Published:
Graefe's Archive for Clinical and Experimental Ophthalmology Aims and scope Submit manuscript

Abstract

Background

To evaluate the efficacy of long-term gas tamponade after pars plana vitrectomy (PPV) for retinal detachment (RD) due to a macular hole (MH) in highly myopic eyes.

Methods

A retrospective study was conducted at two institutions. The study included 25 highly myopic eyes with RD resulting from a MH. C3F8 gas tamponade was used in 13 eyes (C3F8 gas group), and SF6 gas tamponade was used in 12 eyes (SF6 gas group) following PPV. C3F8 gas has a longer half-life time in the vitreous cavity than SF6 gas. The main outcome measures were the anatomic reattachment rate and the visual acuity (VA). Follow-up periods were at least 24 months.

Results

The anatomic reattachment rate and MH closure following the initial surgery were significantly higher in the C3F8 gas group (100%) than in the SF6 gas group (66.7%; P=0.039). The differences in the postoperative VAs were not significant both for all eyes and only for eyes with initial anatomic success. (P=0.42 and P=0.54, respectively). In addition, no significant difference was found in the improvement of VA both for all eyes and for the initial success eyes (P=0.66 and P=0.56, respectively).

Conclusion

We conclude that the longer duration of tamponade with C3F8 gas results in a higher rate of successful closure and that C3F8 gas tamponade is an effective treatment for MH with RD in highly myopic eyes.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1.

Similar content being viewed by others

References

  1. Aaberg TM, Blair CJ, Gass JDM (1970) Macular holes. Am J Ophthalmol 65:555–561

    Google Scholar 

  2. Blankenship GW, Ibanez-Langlois S (1987) Treatment of myopic macular hole and retinal detachment. Ophthalmology 94:333–336

    CAS  PubMed  Google Scholar 

  3. Enaida H, SakamotoT, Hisatomi T, Goto Y, Ishibashi T (2002) Morphological and functional damage of the retina caused by intravitreous indocyanine green in rat eyes. Graefes Arch Clin Exp Ophthalmol 240:209–213

    Google Scholar 

  4. Gandorfer A, Haritoglou C, Gass CA, Ulbig MW, Kampik A (2001) Indocyanine green-assisted peeling of the internal limiting membrane may cause retinal damage. Am J Ophthalmol 132:431–433

    Google Scholar 

  5. Gandorfer A, Haritoglou C, Gandorfer A, Kampik A (2003) Retinal damage from ICG in experimental macular surgery. Invest Ophthalmol Vis Sci 44:316–323

    Article  PubMed  Google Scholar 

  6. Gonvers M, Machemer R (1982) A new approach to treating retinal detachment with macular holes. Am J Ophthalmol 94:468–472

    CAS  PubMed  Google Scholar 

  7. Haritoglou C, Gandorfer A, Gass CA, Schaumberger M, Ulbig MW, Kampik A (2002) Indocyanine-green assisted peeling of the internal limiting membrane in macular hole surgery affects visual outcome: a clinicopathologic correlation. Am J Ophthalmol 134:836–841

    Article  Google Scholar 

  8. Ishida S, Yamazaki K, Shinoda K, Kawashima S, Oguchi Y (2000) Macular hole retinal detachment in highly myopic eyes. Ultrastructure of surgically removed epiretinal membrane and clinicopathologic correlation. Retina 20:176–183

    CAS  PubMed  Google Scholar 

  9. Kadonosono K, Yazama F, Itoh N, Uchio E, Nakamura S, Akura J, Sawada H, Ohno S (2001) Treatment of retinal detachment resulting from myopic macular hole with internal limiting membrane removal. Am J Ophthalmol 131:203–207

    Google Scholar 

  10. Leaver PK, Cleary PE. (1975) Macular hole and retinal detachment. Trans Ophthalmol Soc UK 95:145–147

    CAS  PubMed  Google Scholar 

  11. Lewis JM, Park I, Ohji M, Saito Y, Tano Y (1997) Diamond-dusted silicone cannula for epiretinal membrane separation during vitreous surgery. Am J Ophthalmol 124:552–554

    Google Scholar 

  12. Marmor MF (1994) Mechanisms of normal retinal adhesion. In: Ryan SJ, Glaser BM (eds) Retina, 2nd edn. Mosby Year Book, St. Louis, pp 1931–1953

  13. Miyake Y (1986) A simplified method of treating retinal detachment with macular hole: long-term follow-up. Arch Ophthalmol 104:1234–1236

    CAS  PubMed  Google Scholar 

  14. Oshima Y, Ikuno Y, Motokura M, Nakae K, Tano Y (1998) Complete epiretinal membrane separation in highly myopic eyes with retinal detachment resulting from a macular hole. Am J Ophthalmol 126:669–676

    Article  CAS  PubMed  Google Scholar 

  15. Seike C, Kusaka S, Sakagami K, Ohashi Y (1997) Reopening of macular holes in highly myopic eyes with retinal detachments. Retina 17:2–6

    CAS  PubMed  Google Scholar 

  16. Sippy BD, Engelbrecht NE, Hubbard GB, Shunai Jiang SEM, Aaberg TM Jr, Aaberg TM Sr, Grossniklaus HE, Sternberg P Jr (2001) Indocyanine green effect on cultured human retinal pigment epithelial cells: implication for macular hole surgery. Am J Ophthalmol 132:433–435

    Google Scholar 

  17. Stripe M, Michels RG (1990) Retinal detachment in highly myopic eyes due to macular holes and epiretinal traction. Retina 10:113–114

    PubMed  Google Scholar 

  18. Tamura T, Saito A, Miyake Y (1989) The retinal detachment due to macular hole after removal of macular buckling. Jpn Rev Clin Ophthalmol 83:1521–1523

    Google Scholar 

  19. Terasaki H, Miyake Y, Nomura R, Piao CH, Hori K, Niwa T, Kondo M (2001) Focal macular ERGs in eyes after removal of macular ILM during macular hole surgery. Invest Ophthalmol Vis Sci 42:229–234

    CAS  PubMed  Google Scholar 

  20. Tornambe PE, Poliner LS, Cohen RG (1998) Definition of macular hole surgery end points: Elevated/Open, Flat/Open, Flat/Closed. Retina 18:286–287

    CAS  PubMed  Google Scholar 

  21. Wolfensberger TJ, Gonvers M (1988) Long-term follow-up retinal detachment due to macular hole in myopic eyes treated by temporary silicone oil tamponade and laser photocoagulation. Ophthalmology 95:917–924

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Ophthalmology, Toho University Sakura Hospital, 564-1 Shimoshizu, Sakura, 285-8741, Chiba, Japan

    Riyo Uemoto

  2. Department of Ophthalmology, Osaka National Hospital, Osaka, Japan

    Yoshihiro Saito, Shigeru Sato & Kazuto Nakae

  3. Department of Ophthalmology, Hyogo Prefectural Nishinomiya Hospital, Hyogo, Japan

    Ayako Imaizumi & Masako Tanaka

Authors
  1. Riyo Uemoto
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Yoshihiro Saito
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Shigeru Sato
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Ayako Imaizumi
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Masako Tanaka
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Kazuto Nakae
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Riyo Uemoto.

Additional information

None of the authors or their family members has any proprietary or financial interest in the instruments used in this study.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Uemoto, R., Saito, Y., Sato, S. et al. Better success of retinal reattachment with long-standing gas tamponade in highly myopic eyes. Graefe's Arch Clin Exp Ophthalmol 241, 792–796 (2003). https://doi.org/10.1007/s00417-003-0750-5

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00417-003-0750-5

Keywords

Search

Navigation