25-Gauge Vitrectomy Using Sulfur Hexafluoride and No Prone Positioning for Repair of Macular Holes

Abstract

Macular hole closure rates similar to those achieved using pars plana vitrectomy with perfluoropropane and prone positioning can be achieved using sutureless 25-gauge vitrectomy with sulfur hexafluoride tamponade and no prone positioning for both phakic and pseudophakic patients.

Combined 23-gauge, sutureless transconjunctival vitrectomy with phacoemulsification without face down posturing for the repair of idiopathic macular holes

“…Since then, numerous reports pervade the ophthalmic literature, questioning the need for such posturing. [2][3][4][5][6][7] In this paper, we present the results of patients who underwent combined, sutureless vitrectomy, phacoemulsification, internal limiting membrane (ILM) peeling, and gas tamponade to ameliorate the signs and symptoms of idiopathic macular hole.…”

Macular Hole Surgery Without Postoperative Prone Position and Spectral-Domain Optical Coherence Tomography Imaging in Gas-Filled Eyes

“…In these three studies, ILM peeling and 12% to 18% C3F8 gas tamponade were performed without subsequent face-down positioning, and anatomic hole closure rates of 87.5% to 92% were achieved with a single operation. In 2008, Carvounis et al [20] reported the results of 25-gauge vitrectomy with ILM peeling and 10% to 20% SF6 gas tamponade without face-down positioning. Anatomic success was achieved in 88.6% (39 of 44) of eyes with a single operation.…”

25-Gauge Transconjunctival Sutureless Vitrectomy for Idiopathic Macular Hole

“…‹ntraoküler tamponad olarak SF6 gaz› kullan›lan ve postoperatif yüzüko-yun pozisyon verilmeyen hastalar›n incelendi¤i benzer bir çal›flmada makula deli¤i kapanma oran› %88,6 olarak bildirilmifltir. Bu çal›flmada ortalama en iyi düzeltilmifl görme keskinli¤i 20/61'den 20/50'ye yükselmifltir (16). ‹diyopa-tik makula deli¤i tedavisinde 23-G ve 25-G TSV uygulanan hastalar›n karfl›laflt›r›ld›¤› bir çal›flmada 25-G grubunda makula deli¤i kapanma oran› %92 olarak bildirilmifltir.…”

“…Makula deli¤i cerrahisinde 20-G ve 23-G PPV ile bildirilmifl olan bu anatomik baflar› oranlar› çal›flmam›zla ve di¤er 25-G TSV çal›flmala-r›yla benzerlik göstermektedir (15)(16)(17).…”