Journal List > J Korean Ophthalmol Soc > v.56(10) > 1010111

J Korean Ophthalmol Soc. 2015 Oct;56(10):1566-1571. Korean.
Published online October 15, 2015.  https://doi.org/10.3341/jkos.2015.56.10.1566
©2015 The Korean Ophthalmological Society
Silicone Oil with Short-Term Prone Position in Macular Hole Retinal Detachment Surgery in High Myopia
Ju Hong Park, MD, Moo Hyun Kim, MD, Min Sagong, MD, PhD and Woo Hyok Chang, MD, PhD
Department of Ophthalmology, Yeungnam University College of Medicine, Daegu, Korea.

Address reprint requests to Woo Hyok Chang, MD, PhD. Department of Ophthalmology, Yeungnam University Medical Center, #170 Hyeonchung-ro, Nam-gu, Daegu 42415, Korea. Tel: 82-53-620-3443, Fax: 82-53-626-5936, Email: changwh@ynu.ac.kr
Received January 29, 2015; Revised July 04, 2015; Accepted September 21, 2015.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.


Abstract

Purpose

To evaluate the result of vitrectomy with internal limiting membrane peeling and silicone oil tamponade with short term face-down positioning in highly myopic patients with retinal detachment due to macular hole.

Methods

Eleven eyes of highly myopic patients with retinal detachment caused by macular hole were retrospectively reviewed. All patients underwent pars plana vitrectomy, internal limiting membrane peeling, and silicone oil tamponade with short term (1-3 days) face-down positioning. Silicone oil was removed between 6 and 12 months postoperatively. Outcomes included best-corrected visual acuity, retinal reattachment rate, macular hole closure, and complications.

Results

The mean age of patients was 63.3 ± 8.3 years. During the silicone oil period, all 11 eyes (100%) had complete retinal attachment. After silicone oil removal, retinal detachment recurred in 2 eyes (18.2%). Macular hole closure was observed in 8 eyes (72.7%). The best corrected visual acuity (log MAR) improved from 1.99 ± 0.94 before surgery to 1.33 ± 0.62 at final visit.

Conclusions

Pars plana vitrectomy, internal limiting membrane peeling and silicone oil tamponade with short term face-down positioning was effective in treating retinal detachment caused by macular hole in highly myopic eyes.

Keywords: Face-down; High myopia; Macular hole; Retinal detachment; Silicone oil

Figures


Figure 1
Changes in preoperative and final BCVA. BCVA = best corrected visual acuity.
Click for larger image


Figure 2
Preoperative fundus photograph (A) and optical coherence image (B) and postoperative fundus photograph (C) and optical coherence image (D) after silicone oil removal (case 4).
Click for larger image

Tables


Table 1
Characteristics of all patients in this study
Click for larger image

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