First Author: Ö.Budakoğlu TURKEY
Co Author(s): M. Citirik
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To report a case of pneumatic vitreolysis with perfluoropropan gas (C3F8) injection for symptomatic vitreomacular traction.
An eye with vitreomacular traction was treated with 0.3 ml of C3F8 . Patient maintained partial face-down positioning until gas resolution.
A 57 years old man with idiopathic vitreomacular traction presented to the ophthalmology department with vision loss and metamorphopsia. His visual acuity was 0.4 (Snellen) in the right eye and optical coherence tomography (OCT) revealed vitreomacular traction with intraretinal cystic fluid accumulation at the fovea. Patient was treated with 0.3 ml of undiluted C3F8 and told to preserve partial face-down positioning until the gas resolution.
Approximately in 4 weeks gas resolved completely and OCT revealed complete separation of posterior hyaloid and resolution of intraretinal fluid. Visual acuity increased to 0.8 (Snellen)
Pneumatic vitreolysis with partial face-down positioning may be a viable choice of treatment for vitreomacular traction. However to evaluate the indications, benefits and risks more studies are needed.