MedPath

Air Tamponade in Macular Hole Surgery

Not Applicable
Completed
Conditions
Macular Hole
Interventions
Procedure: Pars plana vitrectomy and postoperative air tamponade
Registration Number
NCT01680068
Lead Sponsor
Helse Stavanger HF
Brief Summary

Macular hole is a hole formation which takes place in the center of the retina. Such a hole needs surgical steps in order to close. Closure of the macular hole will lead to a substantially improvement of vision in most cases. Following macular hole surgery a tamponade of intraocular gas is normally injected in order to keep the macula dry for the postoperative period. Postoperative face down position for a week was earlier standard. Several authors report of good closure rates with both air tamponade or lack of face down positioning. In this study standard pars plana vitrectomy with peeling of the internal limiting membrane (ILM) will be performed. The gas tamponade will be replaced by air. Postoperative face down positioning will not be used.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
20
Inclusion Criteria
  • Idiopathic stage 2 - 4 macular hole
  • Duration of symptoms ≤ 36 months
  • Informed consent
Exclusion Criteria
  • Previous vitreomacular surgery
  • Myopia ≥ 6 diopters
  • Ocular trauma
  • Disease affecting visual function

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Pars plana vitrectomy and postoperative air tamponadePars plana vitrectomy and postoperative air tamponadePars plana vitrectomy, ILM peeling and air tamponade. No postoperative face down positioning. All patients need to be pseudophakic prior to intervention.
Primary Outcome Measures
NameTimeMethod
Closure rate of macular hole1 month after enrollment
Secondary Outcome Measures
NameTimeMethod
Closure rate in macular holes larger than 400 micrometer1 month after enrollment

Trial Locations

Locations (1)

Stavanger University Hospital, Department of Ophthalmology

🇳🇴

Stavanger, Norway

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