J Korean Ophthalmol Soc.  2003 Dec;44(12):2762-2768.

Three Cases of Macular Buckling for Retinal Detachment due to Macular Hole in Highly Myopic Eyes

• Kim SK
• Choi KH
• Kang SW

Abstract

PURPOSE
Retinal detachment due to macular holes in highly myopic eyes is now usually treated by intraocular gas tamponade with pars plana vitrectomy. However, reopening of the macular holes occurs frequently. In this study, we performed macular buckling for recurred retinal detachment caused by macular holes in highly myopic eyes that failed with vitrectomy and intraocular gas tamponade. We observed that these complex cases could be successfully repaired with this procedure. METHODS: Retinal detachment resulting from a macular holes was found to be present in 3 highly myopic eyes. Retinal reattachment was obtained in all eyes following pars plana vitrectomy and removal of the internal limiting membrane in the posterior pole and fluid-gas exchange. A few months later, the retinal redetachment occurred as a result of reopened macular hole. We performed macular buckling as reoperation. RESULTS: After the second surgery, the macular hole remained closed and the retina remained reattached in all 3 eyes. Retinal reattachment was maintained for longer than 3 months of follow-up periods, and the final visual acuity was improved. CONCLUSIONS: This small case series suggest that macular buckling is an effective procedure of reoperation for failed initial vitrectomy for retinal detachment with macular holes in highly myopic eyes.

Keyword

High myopia; Macular buckling; Macular hole; Retinal detachment

MeSH Terms

Follow-Up Studies
Membranes
Reoperation
Retina
Retinal Detachment*
Retinal Perforations*
Retinaldehyde*
Visual Acuity
Vitrectomy
Retinaldehyde