Abstract
A 53-year-old woman presented with a stage 3 idiopathic macular hole in the right eye. Corrected Snellen visual acuity was 201100. The intraocular pressure (lOP) was 16 mm Hg in both eyes, and the patient had no history of glaucoma. We performed a standard 3-port pars plana vitrectomy with stripping of the posterior hyaloid (but no attempt at peeling the internal limiting membrane [ILM]) and 20% sulfur hexafluoride tamponade. Using suction at a pressure of up to 400 mm Hg, we engaged the attached posterior hyaloid in the nasal and papillomacular peripapillary regions and stripped it from the surface of the macula and optic disc. The posterior vitreous separation was then extended anteriorly in each of the 4 quadrants. We used the vitrectomy cutter handpiece to trim the peripheral vitreous and excise the peripheral hyaloid. There were no apparent intraoperative complications. On postoperative day 1, gas almost completely filled the vitreous cavity, and the lOP rose to 22 mm Hg.
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Schedule a callMore From: Canadian Journal of Ophthalmology/Journal canadien d'ophtalmologie
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