Hot issues and progress in surgical treatment of macular hole in high myopia

VernacularTitle:高度近视黄斑裂孔手术治疗的热点问题及进展
Author: Wei FAN ¹ ; Rongdi YUAN ; Chunming HU
Author Information

1. 陆军军医大学第二附属医院眼科，重庆　400037
Keywords: Myopia, degenerative; Retinal perforations; Vitrectomy; Review
From: Chinese Journal of Ocular Fundus Diseases 2021;37(12):979-984
CountryChina
Language:Chinese
Abstract: High myopia macular hole (MH) is a serious complication of high myopia. The main treatment method is surgery. Because of axial growth, posterior scleral staphyloma, choroidal atrophy and other factors, the operation is difficult, the anatomic reduction rate is low, and the visual prognosis is poor. How to improve the reduction rate of surgical dissection and the recovery of visual function is a hot topic. At present, the most popular surgeries include parsplanavitrectomy (PPV) and posterior scleral reinforcement (PSR). However, there are many controversies regarding the treatment of internal limiting membrane in PPV, the selection of vitreous gapfiller, the choice of reinforcement materials and reinforcement methods of PSR, and whether it is necessary to combine PPV and PSR, etc. In recent years, many new surgical methods or techniques have emerged, which significantly increase the success rate of MH.