Summary
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.
Purpose
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.
Keywords Macular hole - Retina - Redo surgery - Vitrectomy - Silicone oil
Declaration of any proprietary interests or research funding: None
The authors have full control of all primary data and they agree to allow Graefe’s Archive for Clinical and Experimental Ophthalmology
to review their data if requested.