Heavy silicone oil tamponade after failed macular hole surgery with perfluoropropane (C3F8): a report of five cases.
We report five cases of persistent macular holes following conventional surgery. Subsequent management included pars plana vitrectomy, extended Trypan Blue-assisted ILM peel and heavy silicone oil (HSO) tamponade with supine posture.


OBJECTIVE
To report results of redo macular hole surgery using heavy silicone oil (HSO) tamponade.


METHODS
Retrospective study of patients with primary failure of macular hole surgery, who failed to posture prone due to medical reasons. Further surgery consisted of vitrectomy, extended-dye-assisted ILM peel, and HSO tamponade with supine posture.


RESULTS
Anatomical closure of macular holes was achieved in three out of five cases with parallel improvement in visual acuity after 3 months of removal of heavy silicone oil. These were confirmed clinically and by ocular coherence tomography (OCT).


CONCLUSIONS
HSO may be used as tamponade in patients with unsuccessful primary macular-hole surgery, negating the need of prone posturing post-operatively.
Saeed
Muhammad Usman
MU
St. Paul's Eye Unit, Royal Liverpool University Hospital, Liverpool, UK. musmansaeed@aol.com
Heimann
Heinrich
H
Wong
David
D
Gibran
Syed Khurshid
SK
D001485:Basement Membrane / Q000473:pathology / Q000601:surgery; D004396:Coloring Agents; D004322:Drainage / Q000379:methods; D005466:Fluorocarbons / Q000008:administration & dosage*; D006801:Humans; D012008:Recurrence; D012167:Retinal Perforations / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D012189:Retrospective Studies; D012827:Silicone Oils / Q000008:administration & dosage*; D016683:Supine Position; D041623:Tomography, Optical Coherence; D017211:Treatment Failure; D016896:Treatment Outcome; D014343:Trypan Blue; D014792:Visual Acuity / Q000502:physiology; D014821:Vitrectomy
D004396:Coloring Agents; D005466:Fluorocarbons; D012827:Silicone Oils; C515608:densiron; C042852:perflutren; D014343:Trypan Blue