non surgical repair of macular hole

my friend had one eye repaired and found out she was photosensitive and had a very poor result with loss of vision which appears to be permanent. Now they say she has another one begining in the other eye...she is scared to death of going blind. They are suggesting an injection into the eyeball that will make the vitreous "less sticky" and stop it from pulling the retina....this is supposed to be new....ever hear of it?

[John C Hagan III, MD, FACS, FAAO]

Yes, I've posted a discussion on it previously. I think it would be worth while doing from what I've read. Eventually we will all probably have our vitreous completely liquified.

JCH MD

[jeanne915]

I would be interested in reading the discussion...can you help me find it..

[jeanne915]

Anybody know where I can find a discussion about liquifying the vitreous and the success of such a procedure?

[John C Hagan III, MD, FACS, FAAO]

Sorry, if you can't find it with the search feature you will need to do a PubMed search or Google it.

JCH MD

[John C Hagan III, MD, FACS, FAAO]

This is my original post:  Go back to Dec 2 to read the entire discussion thread.

Maybe PVD are not that bad after all
by John C Hagan III, MD, FACS


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John C Hagan III, MD, FACS  
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Kansas City - MO
Member since May 2007
Journal Entry:   "One of the greatest threats to your eyes ..." [Read]
  



, Dec 02, 2008 07:16PM
We have had a number of discussions about posterior vitreous detachments (PVD) and their role in causing retinal detachments. The eye would be better off if it were entirely filled with water like fluid rather than vitreous gel.  New studies indicate that diabetics with vitreous gel attached to the retina are more prone to develop profliferative vitreo-retinopathy than eyes with complete vitreous detachment. Also once the vitreous is stripped off the retina then it cannot tear the retina.

A new druge Vitresolve is now under FDA phase I and II study that essentially liquifies the vitreous chemically causing a complete PVD.  These new studies indicate that it reduces the likelyhood of PDR in diabetics and retinal detachment in high risk patients. No estimate on when it might be available for general use.

JCH MD