Journal List > J Korean Ophthalmol Soc > v.49(8) > 1008046

J Korean Ophthalmol Soc. 2008 Aug;49(8):1263-1268. Korean.
Published online August 20, 2008.  https://doi.org/10.3341/jkos.2008.49.8.1263
Copyright © 2008 The Korean Ophthalmological Society
Primary Silicone Oil Tamponade with Vitrectomy in Macular Hole Retinal Detachment of Highly Myopic Eyes
In Tae Kim, M.D. and Young Jung Roh, M.D.
Department of Ophthalmology and Visual Science, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Address reprint requests to Young Jung Roh, M.D. Department of Ophthalmology, St. Mary's Hospital, The Catholic University of Korea #62 Yeouido-dong, Yeongdeungpo-gu, Seoul 150-713, Korea. Tel: 82-2-3779-1848, Fax: 82-2-761-6869, Email: youngjungroh@hanmail.net
Received December 28, 2007; Accepted August 04, 2008.

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.

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

Figures


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.
Click for larger image


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.
Click for larger image

Tables


Table 1
Baseline characteristics of patients
Click for larger image

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