J Korean Ophthalmol Soc.  2008 Aug;49(8):1263-1268. 10.3341/jkos.2008.49.8.1263.

Primary Silicone Oil Tamponade with Vitrectomy in Macular Hole Retinal Detachment of Highly Myopic Eyes

• Kim IT
• Roh YJ

• KMID: 2211730
• DOI: http://doi.org/10.3341/jkos.2008.49.8.1263

Abstract

PURPOSE: To determine the results of pars plana vitrectomy and silicone oil tamponade to treat retinal detachment caused by macular holes in highly myopic eyes.
METHODS
Eighteen highly myopic patients with spontaneous retinal detachment due to macular holes underwent vitrectomy and primary silicone oil tamponade. Preoperative statuses and postoperative results were reviewed. All patients had high myopia with axial lengths longer than 28 mm or had definite staphyloma. The average follow-up period was 24 months.
RESULTS
Successful retinal attachment of the retina was achieved in 17 eyes, though 1 eye had redetached. Of the 17 eyes, 13 eyes achieved anatomical macular hole closure and 7 eyes showed improved visual acuity.
CONCLUSIONS
Vitrectomy and silicone oil tamponade for retinal detachment due to macular holes in highly myopic eyes produce good anatomical and functional results.

Keyword

High myopia; Macular hole retinal detachment; Silicone oil tamponade; Vitrectomy

MeSH Terms

Eye
Follow-Up Studies
Humans
Myopia
Retina
Retinal Detachment
Retinal Perforations
Retinaldehyde
Silicone Oils
Visual Acuity
Vitrectomy
Retinaldehyde
Silicone Oils

Figure

• 

  Figure 1. (A) Fundus examation reveals a macular hole with surrounding retinal detachment at the posterior pole in the left eye. (B) B-scan demonstrates a posterior staphyloma and retinal detachment restricted to the posterior pole. (C) OCT scan shows a macular hole and retinal detachment. It also shows a posterior vitreous detachment (PVD) and absence of retinal reflectivity in the central macular area and large subretinal fluid.

• 

  Figure 2. (A) Fundus examination shows a sealed macular hole and attached retinal detachment. (B) B-scan shows no retinal detachment at the posterior pole. (C) OCT scan demontrates reapproximation of the edge of the macular hole and intimate attachment of the neurosensory retina.

Reference

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