title: Ultrasonography as a routine examination before treatment of retinal detachment due to macular hole.
abstract: Twelve of 25 patients were treated at the University Eye Clinic in Münster because of retinal detachment due to a macular hole. Partial fluid gas exchange (SF6), vitrectomy and SF6, or vitrectomy and silicone instillation, were used, and the patients were examined both pre- and postoperatively by ultrasonography with particular attention to the situation at the posterior pole. These echographical examinations enabled us to evaluate the following three criteria: staphyloma posticum, stiffness of the retina, and vitreous adhesions. All of these conditions mean that the prognosis will be worse if SF6 gas instillation is used alone. In these cases, a vitrectomy should also be performed or a Klöti-Klemme procedure is useful when stiffness of the retina or staphyloma posticum is present. Preoperative ultrasonography is useful when setting up an adequate therapy plan.
mesh_terms: D005128:Eye Diseases / Q000150:complications / Q000175:diagnosis; D006801:Humans; D011300:Preoperative Care; D012163:Retinal Detachment / Q000150:complications / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D012167:Retinal Perforations / Q000150:complications* / Q000473:pathology; D013459:Sulfur Hexafluoride / Q000008:administration & dosage / Q000627:therapeutic use; D000267:Tissue Adhesions / Q000150:complications / Q000175:diagnosis; D014463:Ultrasonography; D014821:Vitrectomy; D014822:Vitreous Body
chemical_list: D013459:Sulfur Hexafluoride