Treatment of retinal detachment due to macular hole in high myopia by vitrectomy with posterior sclera reinforcement

• Main Authors: Hui-Ru Lin, Jing Xiao, Ying-Jie Liu
• Format: Article
• Language: English
• Published: Press of International Journal of Ophthalmology (IJO PRESS) 2015-05-01
• Series: Guoji Yanke Zazhi
• Subjects: vitrectomy; posterior sclera reinforcement; high myopia; macular hole; retinal detachment
• Online Access: http://ies.ijo.cn/cn_publish/2015/5/201505010.pdf

AIM: To evaluate the efficacy of the method of vitrectomy combined with posterior sclera reinforcement for retinal detachment due to macular hole in high myopia.<p>METHODS: From January 2012 to December 2013, in 45 eyes of 45 high myopic patients with retinal detachment due to macular hole, 28 eyes were in group A of vitrectomy with posterior sclera reinforcement and 17 eyes were in group B of vitrectomy. Preoperative examinations included visual acuity, intraocular pressure, indirect ophthalmoscopy and OCT were performed. In follow-up 6 to 12mo, postoperative examinations of visual acuity, OCT were performed and effects of retinal reattachment and macular hole closure were compared between the two groups. <p>RESULTS:(1)Postoperative examinations: visual acuity was 1.19±0.39 in group A and 1.51±0.34 in group B. The differences were statistically significant(<i>P</i><0.05).(2)The retinal reattachment rate was 100% in group A and 88.24% in group B. There was no statistical significance between them(<i>P</i>>0.05).(3)The macular hole closure rate was 82% in group A and 53% in group B. The differences were statistically significant(<i>P</i><0.05).<p>CONCLUSION: The treatment of vitrectomy with posterior sclera reinforcement is safe and feasible, which could improve visual acuity and increase the rate of macular hole closure in treating retinal detachment due to macular hole in high myopia.