J Korean Ophthalmol Soc.  1999 May;40(5):1269-1275.

Clinical Evaluation for Patients with Retinal Detachment Caused by Macular Hole

• Kim MJ
• Kim MH
• Yoo JS
• Huh W

Abstract

We investigated the surgical outcomes in 19 eyes with retinal detachment(RD)caused by macular hole only. 15 eyes were high-myopic(>-8.0Ds), and the mean preoperative axial-length was 28.30 mm. As an initial treatment method, simple gas injection was done to 2 eyes, and pars plana vitrecto-my(PPV), air-fluid exchange and subretinal fluid drainage with intravitreal tamponade were performed in 17 eyes. The retina of 2 eyes with simple gas injection was not attached because of persistent vitreoretinal traction. PPV with intravitreal tamponade was successful in 12 of 17 eyes with a single operation, and reoperation was effective in 3 eyes of the failed 5 eyes. We conclude that, in case of retinal detachment caused by macular hole, the success rate can be improved by PPV with complete removal of vitreoretinal traction along with the long-lasting intravitreal tamponade.

Keyword

High myopia; Intravitreal tamponade; Macular hole; Parsplana vitrectomy; Retinal detachment; Vitreoretinal traction

MeSH Terms

Drainage
Humans
Reoperation
Retina
Retinal Detachment*
Retinal Perforations*
Retinaldehyde*
Subretinal Fluid
Traction
Retinaldehyde