Macular Hole Surgery

Posts Tagged ‘Surgery’

Macular pucker surgery using 25 gauge small incision “no stitch” system. This 68 year old man has had decreasing vision for 1 year from a macular pucker. He also is diabetic and has had cataract surgery. Because of his macular edema he was treated over the year with steroids, but his viision did not improve. The visual acuity is 20/100. Usually vision is worse for 2 to 4 weeks after macular pucker surgery. Thanks to the small incision system and also because of this patients tense macular pucker, his vision started to improve the very first day after surgery.

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83 year old man had macular hole surgery in 1996 and his visual acuity improved to 20/50. 2 months prior to this video he had a Baerveldt Implant in his left eye and his intraocular pressure was low (less than 6). He developed a choroidal hemorrhage 3 weeks prior to this video. By the time of the surgery, the blood had liquified and drained easily. The video is sped up to double speed during the drainage of the choroidal hemorrhage parts. The patient regained 20/100 vision at the time I am posting this which is one month post-operatively. Even thought the drainage tube was ligated, his intraocular pressure was still low at about 6 mmHg after this surgery.

Macular Hole Surgery, using Brilliant Blue to enhance ILM visualization durinng the peeling by LG

It was my 1st case of ILM peeling (November 2000). The forceps was very bad. Howevere the postop result was very encouraging. Khaled Abdelgalil Shalaby, MD Al-Azhar University Cairo- Egypt Chief Vitreoretinal Service Dr Soliman Fakeeh Hospital Jeddah- KSA

Re-operation for a failed macular hole sugery. In this surgery the internal limiting membrane is peeled using no stain. The high definition video shows the maneuver nicely. This 75 year old female patient recovered vision from 20/200 to 20/30 about 3 monhs after the surgery.

Macular hole surgery