J Korean Ophthalmol Soc.  2001 Dec;42(12):1705-1711.

Surgical Prognosis of Retinal Detachment due to Macular Hole

• Park SK
• Kim SY

Abstract

PURPOSE: In order to evaluate the prognostic factors of vitrectomy for the teatment of retinal detachment due to macular hole.
METHODS
The medical records of 19 patients who had undergone pars plana vitrectomy were analyzed.
RESULTS
After the first operation, the retinal reattachment was achieved in 12 patients out of 19 patients(63.2%). Among 7 patients who had persistent retinal detachment after the first operation, 6 patients underwent reoperation and 4 out of whom were successfully reattached. The final success rate was 88.9%(16 out of 18 patients). Between 12 patients with successful first operation and the remaining 7 patients, there were statistically significant differences in the incidence of posterior staphyloma, myopic chorioretinal atrophy, proliferative vitreoretinopathy, retinal detachment in two quadrant or more, and complete removal of epiretinal membrane(p<0.05).
CONCLUSION
These results suggest that surgical success of post-operation of retinal detachment due to macular hole seems to be related to complete epiretinal membrane removal, proliferative vitreoretinopathy, posterior staphyloma, myopic chorioretinal atrophy and extension of retinal detachment.

Keyword

Macular hole; Pars plana vitrectomy; Prognostic factors; Retinal detachment

MeSH Terms

Atrophy
Epiretinal Membrane
Humans
Incidence
Medical Records
Prognosis*
Reoperation
Retinal Detachment*
Retinal Perforations*
Retinaldehyde*
Vitrectomy
Vitreoretinopathy, Proliferative
Retinaldehyde