Surgical selection of retinal detachment with macular hole in highly myopic eyes
10.3760/cma.j.issn.1673-4904.2010.30.009
- VernacularTitle:近视性黄斑裂孔视网膜脱离手术选择
- Author:
Junhui LI
;
Yuhua HAO
;
Yinghua DU
;
Cunxi YE
;
Ying LIU
- Publication Type:Journal Article
- Keywords:
Myopia;
Retinal detachment;
Ophthalmologic surgical procedures
- From:
Chinese Journal of Postgraduates of Medicine
2010;33(30):21-23
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the surgical selection of retinal detachment with myopic macular holes. Methods Management strategies were adopted according to the ocular symptoms of patients with high myopia involved in posterior chorioretinal atrophy, the colour showed by the bottom of macular holes and the shape of posterior staphyloma. Seventy-five eyes of 72 patients fulfilled the study criteria. The patients were followed up in an average of eight-month-observation and were divided into three groups: single 16% C2F6 gas tamponade (26 eyes of 26 patients) as group A,vitrectomy combined with 16% C2F6 gas tamponade (26 eyes of 23 patients) as group B and vitrectomy with silicon oil tamponade (23 eyes of 23 patients) as group C. Results 69.2%(18/26) of the macular holes were closed in group A, 73.1%(19/26)in group B and 87.0% (20/23) in group C after the primary surgery. Comparison of postoperative outcomes,macular hole closure rate was not significantly different among three groups (P= 0.3184). Conclusions It suggests that good anatomic retinal reattachment be achieved using any approach. However, the optimal surgical choice regarding of the personality case offered less surgical burden and more rapid visual rehabilitation to patients.
