Macular Holes
Conditions
Keywords
macular holes, Injections, Intra-Ocular, gases
Brief summary
To undertake a prospective randomized clinical trial of vitrectomy and gas tamponade to treat macular hole, utilizing a small amount of undiluted C3F8 (perfluoropropane) versus a large amount of diluted C3F8 versus a small amount of undiluted SF6 (sulfur hexafluoride) versus a large amount of diluted SF6.
Interventions
vitrectomy followed by peeling of the internal limiting membrane and, after that, intraocular gas injection
Sponsors
Study design
Masking description
The individuals were randomized in a 1: 1: 1: 1 ratio. Block sizes of 4 individuals stratified according to gas type were used (SF6 or C3F8). In each block, two individuals were allocated to each group (0.9-1.0 mL of 100% gas or 15-20 mL of 20% gas).
Eligibility
Inclusion criteria
* pseudophakia * without previous vitreoretinal surgery * diagnosed with a full-thickness macula hole on the optical coherence tomography exam. * duration of symptoms less than 6 months * inform consent
Exclusion criteria
* ocular trauma * allergy to any of the products used in the study, * need to travel by plane in the first 60 postoperative days * myopia over 6 diopters or axial diameter over 26 mm * retinal dystrophies * retinal detachment * abnormal eye shape * glaucoma * diabetic retinopathy or other eye comorbidities.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Gas duration | up to 60 days | duration of intraocular gas |
| macula hole closure | 26 weeks | closure of the macular hole after the primary surgical procedure |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| visual acuity | preoperative, 26 weeks | corrected distance visual acuity |
| intraocular pressure | preoperative, 1 day, 26 weeks | intraocular pressure |
Countries
Brazil