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Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Middle+East+Afr+J+Ophthalmol 2017 ; 24 (1): 61-3 Nephropedia Template TP
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New Surgical Technique for Management of Recurrent Macular Hole #MMPMID28546696
Mohammed OA; Pai A
Middle East Afr J Ophthalmol 2017[Jan]; 24 (1): 61-3 PMID28546696show ga
Recurrence of macular hole (MH) following the standard approach of pars plana vitrectomy, posterior hyaloids removal, internal limiting membrane peeling, gas tamponade, and postoperative positioning is a common postoperative complication following MH surgery. We present a new surgical technique which involves induction of serous macular detachment around the MH, parafoveal retinal massage to bring its edges closer, gas tamponade, and face down positioning. The recurrent MHs had closed in all four consecutive patients with a parallel gain in visual acuity following this technique. All patients had Type 1 closure of the MH indicating its closure without any defect of the neurosensory retina. The MHs remained closed during the follow-up without any late reopening.