Case Report
Macular Hole Repair: Result of the Inverted Flap Technique-A Case Series
Reynaldo
,
Puranto Budi Susetyo
Issue:
Volume 6, Issue 2, June 2025
Pages:
10-14
Received:
9 April 2025
Accepted:
19 April 2025
Published:
19 May 2025
Abstract: Macular hole (MH) affects the central macula, causing visual impairment, metamorphopsia, and central scotoma. Vitrectomy with internal limiting membrane (ILM) peeling and tamponade is the standard treatment. The inverted ILM flap procedure is a newer surgical method that has shown promising anatomical results, particularly in large or chronic macular holes, by improving the rate of anatomical closure. This case series reports four patients with MH treated using vitrectomy with the inverted ILM flap technique using sulfur hexafluoride (SF6) gas tamponade. All patients presented with progressive central vision loss and were diagnosed via optical coherence tomography (OCT). Three of the four patients had a history of symptom duration exceeding three months, and one patient presented within one month of onset. Anatomical closure of the macular hole was achieved in all cases. One patient showed marked improvement in visual acuity, while the others exhibited limited functional recovery. Postoperative OCT imaging confirmed the closure of the defect in all patients. The visual outcomes appear to be influenced by factors such as the duration and size of the macular hole, as well as underlying ocular conditions. These findings highlight the importance of early diagnosis, timely surgical intervention, and patient education in optimizing outcomes for macular hole repair.
Abstract: Macular hole (MH) affects the central macula, causing visual impairment, metamorphopsia, and central scotoma. Vitrectomy with internal limiting membrane (ILM) peeling and tamponade is the standard treatment. The inverted ILM flap procedure is a newer surgical method that has shown promising anatomical results, particularly in large or chronic macul...
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Case Report
Penile Strangulation by a Metallic Ring in a Male Adult: New Fangled Idea in Time of Agony
Issue:
Volume 6, Issue 2, June 2025
Pages:
15-19
Received:
9 April 2025
Accepted:
18 April 2025
Published:
26 May 2025
DOI:
10.11648/j.wjmcr.20250602.12
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Abstract: Entrapment of penile ring during self-sexual activity is a rare and bizarre presentation in urology emergency department with imminent risk of distal penile loss and gangrene which may require to penile amputation due to underlying vascular injury. Aside enhancing sexual performance, rings may also be inserted for autoerotic, masturbation or due to psychiatric disturbances or depression. Mental health evaluation remains vital to forestall future reoccurrence of such bizarre tendency. Urgent retrieval of the offending device is vital to preserve sexual function. We report our experience with a 28 year old male patient who had penile ring entrapment and acute urinary retention requiring anesthesia to ease manipulation with advanced orthopedic device (wire cutter). Due to consequent acute urinary retention, we immediately inserted a size 16 french two way catheter for drainage of the urine and forestall progressive retention of urine. We drained 700 ml while on table which further confirms acute urinary retention which probably must have added to the excruciating pain. Subsequent interaction with the patient was uneventful and he was counseled to avoid such self-sexual practice in future. Mental health evaluation by the mental health physicians was also uneventful.
Abstract: Entrapment of penile ring during self-sexual activity is a rare and bizarre presentation in urology emergency department with imminent risk of distal penile loss and gangrene which may require to penile amputation due to underlying vascular injury. Aside enhancing sexual performance, rings may also be inserted for autoerotic, masturbation or due to...
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