Efficacy of a simple intravitreal perfluoropropane injection in treating unclosed idiopathic macular holes following vitrectomy
Year: 2025
Type: article
Abstract: Background This study aimed to observe the efficacy of simple intravitreal injection of C3F8 in the treatment of unclosed idiopathic macular holes (IMH) in patients after primary pars plana vitrectomy (PPV). Methods This was a retrospective clinical observational study. Patients diagnosed with unclosed IMH who underwent primary PPV combined with internal limiting membrane peeling (ILMP) and air tamponade were included in the study. Optical coherence tomography (OCT) at 1 week after PPV revealed unclosed IMH with the "cuff" sign and intraretinal cysts. The next day, the patients were treated by simple intravitreal injection of C3F8. All patients underwent best corrected visual acuity (BCVA), indirect ophthalmoscopy, fundus photography, and OCT before PPV and at 1 week, before and after intravitreal gas injection for 1 to 3 months. Results The minimum horizontal hole diameter (MHD) before PPV was 555.4 ± 104.8 µm, and that at 1 week after PPV was 335.1 ± 74.3 um, with statistically significant (t = 11.256, P < 0.001). The percentage of closed holes after air tamponade was 100%. The mean BCVA before PPV was 0.79 ± 0.26 logMAR (20/123), and that after air tamponade was 0.48 ± 0.19 logMAR (20/30) with statistical difference significantly (t = 5.303, P = 0.002). Conclusion For patients with enclosed IMH after primary PPV, if OCT reveals the "cuff" sign, retreatment can be performed through simple intravitreal gas injection. The method is simple, economical, practical, and effective.
Source: BMC Ophthalmology
Authors: Zexia Dou, Jindong Han, Shaozhen Zhao
Language: English
Topic: Retinal and Macular Surgery
Subfield: Radiology, Nuclear Medicine and Imaging
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $2,990
OpenAlex ID: W4407154455