Pars Plana Vitrectomy for Macular Hole

Video Type: CVideo
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Author: Jeffrey Yu
Published:
Specialties: Ophthalmology
Schools: Gavin Herbert Eye Institute, University of California Irvine
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Basic Info

Surgeons: Deepam Rusia, M.D., Mitul Mehta, M.D.

Video: Jeffrey Yu

Gavin Herbert Eye Institute, University of California Irvine

Macular hole is a tear in the macula, located in the center of the retina. The most common cause of macular hole is shrinking of the vitreous and subsequent pulling on the retina. Treatment involves vitrectomy, peeling of the internal limiting membrane, and infusion of gas into the eye. This patient is a 51-year-old female with a macular hole of the right eye.

Advanced

Procedure

Pars plana vitrectomy, membrane peel, endolaser, air/fluid exchange, C3F8 injection in right eye

Indications

Macular hole

Contraindications

None

Instrumentation

Setup

Right eye dilation with 1% Cyclogyl, 2.5% Neo-Synephrine, and 0.03% Ocufen. General anesthesia induction.

Preoperative Workup

Ophthalmologic evaluation, OCT

Anatomy and Landmarks

Eye, vitreous, retina, macula.

Advantages/Disadvantages

Improved vision

Complications/Risks

Decreased vision, retinal detachment, infection.

Disclosure of Conflicts

None

Acknowledgements

None

References

Wolfensberger, Thomas J., and Michel Gonvers. “Surgical Treatment of Retinal Detachment Owing to Macular Hole.” Seminars in Ophthalmology, vol. 15, no. 2, 2000, pp. 122–127.

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