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

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



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.


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.


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.


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.


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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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