The development of surgery for macular hole with retinal detachment in high myopic eyes
10.3760/cma.j.issn.1005-1015.2016.05.030
- VernacularTitle:高度近视黄斑裂孔视网膜脱离手术治疗现状与进展
- Author:
Yi QU
;
Fangtian DONG
- Publication Type:Journal Article
- Keywords:
Myopia,degenerative/surgery;
Retinal detachment/surgery;
Retinal perforations/surgery;
Vitreoretinal surgery;
Review
- From:
Chinese Journal of Ocular Fundus Diseases
2016;32(5):557-560
- CountryChina
- Language:Chinese
-
Abstract:
Treatment of macular hole associated retinal detachment in high myopia has progressively evolved over the years,including the scleral buckling,simple intravitreal gas injection,pars plana vitrectomy (PPV),PPV combined with internal limiting membrane (ILM) peeling or transplantation and so on.Simple vitreous gas injection is less traumatic and good for the patients with small holes and localized retinal detachment.PPV combined with ILM peeling can achieve better treatment effects for small holes with wide retinal detachment.But for large holes with wide retinal detachment,PPV combined with ILM transplantation is necessary to improve the macular holes closure rate.If the ILM has been peeled before,the lens capsule could be a nice substitute for ILM.The scleral surgery can solve the problem of posterior scleral staphyloma and effectively control the elongation of the axial length.However,there is still no one surgery could deal with all the problems of high myopia,we should consider all the circumstances like the size of the macular hole and the range of the retinal detachment to choose the best individualized therapy.
