Optical coherence tomography evaluation of idiopathic macular hole treatment by gas-assisted posterior vitreous detachment.
OBJECTIVE
To report a case of idiopathic macular hole, with vitreoretinal traction confirmed by optical coherence tomography that was successfully treated by a single intravitreous perfluoropropane (C(3)F(8)) gas bubble injection.


METHODS
Case report. A 65-year-old patient with idiopathic macular hole (stage 2, one eye) received an intravitreous gas injection and was prospectively followed with optical coherence tomography.


RESULTS
A complete posterior vitreous detachment was achieved within 6 weeks after gas injection. Visual acuity improved from 20/80 to 20/25 by 10 months of follow-up. Optical coherence tomography disclosed vitreoretinal traction release and macular hole closure. No complications were related to the procedure.


CONCLUSIONS
This simple procedure can assist a complete posterior vitreous detachment with relief of the hyaloid-foveolar traction, facilitating macular hole closure.
Costa
R A
RA
Department of Ophthalmology, Federal University of São Paulo-Paulista School of Medicine, São Paulo, Brazil.
Cardillo
J A
JA
Morales
P H
PH
Jorge
R
R
Uno
F
F
Farah
M E
ME
D000368:Aged; D003941:Diagnostic Techniques, Ophthalmological; D005466:Fluorocarbons / Q000627:therapeutic use*; D005500:Follow-Up Studies; D006801:Humans; D007267:Injections; D007368:Interferometry; D008027:Light; D008297:Male; D011446:Prospective Studies; D012167:Retinal Perforations / Q000175:diagnosis / Q000601:surgery*; D014054:Tomography; D014792:Visual Acuity; D020255:Vitreous Detachment / Q000175:diagnosis / Q000601:surgery*
D005466:Fluorocarbons; C042852:perflutren