Air tamponade with inverted internal limiting membrane flap technique for macular hole retinal detachment in high myopia with posterior staphyloma
10.3980/j.issn.1672-5123.2022.4.02
- VernacularTitle:空气填充联合内界膜翻转治疗伴有后巩膜葡萄肿的高度近视黄斑裂孔性视网膜脱离
- Author:
Hai-Cheng She
1
,
2
,
2
,
3
,
4
,
5
Author Information
1. 1Beijing Tongren Eye Center
2. Beijing Tongren Hospital, Capital Medical University
3. Beijing Ophthalmology and Visual Science Key Lab, Beijing 100730, China|2Beijing Institute of Ophthalmology
4. Beijing Tongren Eye Center
5. Beijing Ophthalmology and Visual Science Key Lab, Beijing 100730, China
- Publication Type:Journal Article
- Keywords:
internal limiting membrane;
macular hole;
high myopia;
retinal detachment;
vitrectomy
- From:
International Eye Science
2022;22(4):536-540
- CountryChina
- Language:English
-
Abstract:
AIM: To evaluate the effect of vitrectomy with inverted internal limiting membrane(ILM)flap technique and air tamponade in high myopic eyes with macular hole retinal detachment(MHRD).METHODS: A retrospective, noncomparative study of high myopia patients with MHRD was conducted. In all cases, triamcinolone acetonide was used to visualize the vitreous during vitrectomy. After ILM was inverted, a venous blood clot was placed on the inverted ILM flap and air was used as tamponade. Macular hole closure rate, retinal reattachment rate, and postoperative best-corrected visual acuity(BCVA)were assessed after the surgery.RESULTS: Twenty-four eyes of 24 high myopia patients with MHRD were included in this study. The patients were followed up for at least 6mo, averaging 13.58±7.00mo. At last follow up,macular hole(MH)was closed in 21 eyes(88%)and retina was reattached in 20 eyes(83%). Seventeen eyes(71%)had both complete MH closure and retinal reattachment. Three eyes(13%)had complete reattached retina with unclosed MH, while 4 eyes(17%)had persistent subretinal fluid with closed MH. No additional pars plana vitrectomy(PPV)was performed. BCVA(LogMAR)was significantly improved at last follow up(0.65±0.34 vs 1.36±0.49, P<0.001). An improvement in BCVA of 2 or more lines was achieved in 12 eyes(50%).CONCLUSION:Vitrectomy combined with inverted ILM flap, autologous blood transplantation and air tamponate is an effective treatment for MHRD in myopic eyes.
- Full text:202204002.pdf
