Silicone Oil with Short-Term Prone Position in Macular Hole Retinal Detachment Surgery in High Myopia

Ju Hong Park; Moo Hyun Kim; Min Sagong; Woo Hyok Chang

doi:10.3341/jkos.2015.56.10.1566

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

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Park, Kim, Sagong, and Chang: Silicone Oil with Short-Term Prone Position in Macular Hole Retinal Detachment Surgery in High Myopia

Original Article

J Korean Ophthalmol Soc 2015;56(10):1566-1571.

Published online: 29 August 2015

DOI: https://doi.org/10.3341/jkos.2015.56.10.1566

Silicone Oil with Short-Term Prone Position in Macular Hole Retinal Detachment Surgery in High Myopia

Ju Hong Park, M.D, Moo Hyun Kim, M.D, Min Sagong, M.D, PhD, Woo Hyok Chang, M.D, 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 E-mail: changwh@ynu.ac.kr

Received 29 January 20154 July 2015 Accepted 21 September 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-cor-rected 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

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Figure 1.

Changes in preoperative and final BCVA. BCVA = best corrected visual acuity.

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).

Table 1.

Characteristics of all patients in this study

Patient No.	Sex	Age (years)	SE (diopter)	Axial length (mm)	Preoperative lens Status	Preoperative BCVA (log MAR)	Final BCVA (log MAR)	Duration of silicone oil (months)	Macular hole	Recurrent RD	Reoperation	Final retina status	Follow up (months)
1	F	59	-4.5	27.14	Pseudophakie	1.70	1.00	12	Close	No	-	Attached	38
2	F	66	-18.5	29.05	Phakic	0.82	1.70	9	Close	No	-	Attached	19
3	F	65	-1.75	27.56	Pseudophakie	0.82	0.82	6	Close	No	-	Attached	13
4	F	52	-6.5	30.72	Pseudophakie	0.70	0.70	7	Close	No	-	Attached	18
5	F	53	NA	NA	Pseudophakie	0.70	1.00	9	Open	No	-	Attached	15
6	F	61	-2	26.49	Pseudophakie	1.70	1.40	6	Open	Yes	-	Detached	9
7	F	59	-5.5	26.47	Phakic	2.90	1.22	6	Close	No	-	Attached	10
8	F	77	-16.5	29.66	Phakic	2.90	2.90	6	Close	No	-	Attached	11
9	F	76	NA	28.55	Pseudophakie	1.70	1.70	11	Close	No	-	Attached	14
10	M	59	NA	26.93	Phakic	2.90	0.82	7	Close	No	-	Attached	18
11	F	69	-12	25.43	Phakic	2.90	1.40	8	Open	Yes	Yes	Attached	20

F = female; M = male; SE = spherical equivalent; BCVA = best corrected visual acuity; RD = retinal detachment; NA = not available.

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