ABSTRACT
Objective: to assess the anatomical and functional results in macular hole surgery
Material and Methods: this study was conducted in the department of ophthalmology, SIMS/ Services Hospital Lahore over a period of one year between July 2008 to July 2009. Eighteen eyes of eighteen patients were included in this study. Pars plana vitrectomy was done in all cases. Internal limiting membrane [ILM] staining with trypan blue or brilliant Perfluoropropane [C3F8] 14% was used in 17 cases and silicone oil was used in one case for internal tamponade. Patients were advised to posture in face down position for one week. All patients were followed-up for at least six months
Results: 18 eyes of 18 patients were operated. 15 [83.33%] patients had idiopathic while 3 [16.66%] had secondary macular holes. There were 17 [94.44%] phakic and 1 [5.55%] pseudophackic patients. In 5 [27.77%] ILM staining was done with brilliant peel while in 13 [72.22%] patients Trypan blue was used. For internal tamponade C3F8 was used in 17[94.44%] patients and in 1 [5.55%] silicone oil was used. Postoperatively, 100% macular hole closure was achieved in all cases with at least 6 month follow-up
Conclusion: pars plana vitrectomy with ILM peeling is a very effective technique for the surgical closure of full thickness macular holes. This technique should be combined with post-operative head posturing for at least one week to expedite hole closure
ABSTRACT
We report 2 cases of complete androgen insensitivity syndrome. Both belonged to the same family and presented with primary amenorrhoea in Gynae unit-I Services Hospital. They were investigated, consulted about future gender assignment and managed in collaboration with Urology Department Services Hospital