%0 Journal Article
%T Pneumatic Vitreolysis using C3F8 Gas in Treatment Naive Patients with Vitreomacular Traction.
%A Marková K
%A Němec P
%A Červený P
%A Havlik J
%A Rejmont L
%A Tesař J
%A Morin H
%A Šín M
%J Cesk Slov Oftalmol
%V 80
%N 0
%D 2024
%M 38997208
暂无%R 10.31348/2024/34
%X <B>OBJECTIVE: </B>Evaluation of the effectiveness of pneumatic vitreolysis in disrupting vitreomacular traction in our own cohort of patients.<BR><B>METHODS: </B>Prospective follow-up of 21 eyes of 18 patients with focal VMT (adhesion width &lt; 1500 µm) who underwent intravitreal injection of 0.3 ml of 100% perfluoropropane between January 2015 and December 2020. The patients were observed for 90 days.<BR><B>RESULTS: </B>Release of VMT was achieved on the 28th day of observation in 15 out of 21 eyes (71.4%), and by the 90th day in 19 out of 21 eyes (90.5%). The average width of adhesion in our patients was 382 µm (±212 µm). Average best corrected visual acuity in our cohort was initially 0.77 (±0.21), after 28 days 0.74 (±0.30), and after 3 months 0.82 (±0.21). At the end of the follow-up period, we did not observe a statistically significant improvement in vision. Macular holes developed in two eyes, but spontaneously closed within 1 month of observation, and no more complications were observed in the cohort.<BR><B>CONCLUSIONS: </B>Pneumatic vitreolysis by intravitreal injection of C3F8 gas is an effective and inexpensive option for the management of symptomatic vitreomacular traction. The incidence of serious adverse events in our follow-up was significantly lower than in recently published series. The method of management should be selected individually according to the parameters of adhesion, macular hole and associated ocular pathologies.