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Curbside Consultation in Neuro-Ophthalmology

Brief Reports

Early Postoperative Macular Features Determined by Optical Coherence Tomography After Idiopathic Macular Hole Surgery With Silicone Oil Tamponade

Ophthalmic Surgery, Lasers and Imaging   Vol. 36   No. 5   September/October 2005
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Kazuki Hotta, MD

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ABSTRACT

The configuration of idiopathic macular holes in the early postoperative period after pars plana vitrectomy using optical coherence tomography through silicone oil was evaluated. Pars plana vitrectomy with internal limiting membrane peeling and silicone oil instillation was performed on 20 eyes. Optical coherence tomography images were obtained preoperatively and postoperatively. Nineteen eyes (95%) achieved a closed fovea. None of them had a transit foveal contour with flat retina without closure. In the early phase of postoperative idiopathic macular hole repair, inner retinal tissue closure rather than flattening of the fovea is essential for those undergoing pars plana vitrectomy with internal limiting membrane peeling and silicone oil instillation. [Ophthalmic Surg Lasers Imaging 2005;36:426-431.]

AUTHOR

From the Department of Ophthalmology, Kameda Medical Center, Kamogawa, Chiba, Japan.

Accepted for publication July 5, 2005.

Presented at the annual meeting of the Association for Research in Vision and Ophthalmology, April 6, 2004, Fort Lauderdale, Florida.

Address reprint requests to Kazuki Hotta, MD, 929 Higashi, Kamogawa, Chiba 296-0041, Japan.

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