Clinical Evaluation for Patients with Retinal Detachment Caused by Macular Hole.
- Author:
Min Jeong KIM
1
;
Min Ho KIM
;
Jin Seong YOO
;
Warne HUH
Author Information
1. Department of Ophthalmology, Kangnam St. Mary`s Hospital, The Catholic University of Korea, College of Medicine.
- Publication Type:Original Article
- Keywords:
High myopia;
Intravitreal tamponade;
Macular hole;
Parsplana vitrectomy;
Retinal detachment;
Vitreoretinal traction
- MeSH:
Drainage;
Humans;
Reoperation;
Retina;
Retinal Detachment*;
Retinal Perforations*;
Retinaldehyde*;
Subretinal Fluid;
Traction
- From:Journal of the Korean Ophthalmological Society
1999;40(5):1269-1275
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We investigated the surgical outcomes in 19 eyes with retinal detachment(RD)caused by macular hole only. 15 eyes were high-myopic(>-8.0Ds), and the mean preoperative axial-length was 28.30 mm. As an initial treatment method, simple gas injection was done to 2 eyes, and pars plana vitrecto-my(PPV), air-fluid exchange and subretinal fluid drainage with intravitreal tamponade were performed in 17 eyes. The retina of 2 eyes with simple gas injection was not attached because of persistent vitreoretinal traction. PPV with intravitreal tamponade was successful in 12 of 17 eyes with a single operation, and reoperation was effective in 3 eyes of the failed 5 eyes. We conclude that, in case of retinal detachment caused by macular hole, the success rate can be improved by PPV with complete removal of vitreoretinal traction along with the long-lasting intravitreal tamponade.
