Posterior pole retinotomy for treatment of recurrent macular hole retinal detachment in highly myopic eyes: a pilot study

To investigate the feasibility and efficacy of posterior pole retinotomy to treat recurrent macular hole retinal detachment (MHRD) in highly myopic patients. We performed a retrospective study and reviewed the medical records in our hospital between January 1, 2016 and December 31, 2018. Highly myop...

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Bibliographic Details
Published in:BMC ophthalmology 2021-05, Vol.21 (1), p.217-217, Article 217
Main Authors: Wang, Xianggui, Zhou, Xuezhi, Zhu, Ying, Xu, Huizhuo
Format: Article
Language:English
Subjects:
Acuity
Care and treatment
Endophthalmitis
Eye
Gas absorption
Hemorrhage
High myopia
Humans
Macular hole retinal detachment
Medical records
Medical research
Medicine, Experimental
Ophthalmology
Patients
Perfluorocarbons
Pilot Projects
Posterior pole retinotomy
Recurrent retinal detachment
Retina
Retinal detachment
Retinal Detachment - etiology
Retinal Detachment - surgery
Retinal Perforations - surgery
Retrospective Studies
Silicones
Statistical analysis
Surgery
Tamponade
Ultrasonic imaging
Visual Acuity
Vitrectomy
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Summary:To investigate the feasibility and efficacy of posterior pole retinotomy to treat recurrent macular hole retinal detachment (MHRD) in highly myopic patients. We performed a retrospective study and reviewed the medical records in our hospital between January 1, 2016 and December 31, 2018. Highly myopic patients who received posterior pole retinotomy with silicone oil tamponade for their recurrent MHRD after pars plana vitrectomy were included in the analysis. Postoperative retinal reattachment, best-corrected visual acuity (BCVA), macular hole closure, and complications were evaluated. There were 11 patients (11 eyes) included in this study. All retinas were reattached. Silicone oil was successfully removed from all eyes 1.5-3 months after the surgery. Macular holes were completely closed in three eyes and remained flat open in eight eyes. The BCVA of all eyes improved significantly at 12 months after surgery (logarithm of the minimal angle of resolution, pre vs. postoperatively, 1.87 ± 0.44 vs. 1.15 ± 0.24, P 
ISSN:1471-2415
1471-2415
DOI:10.1186/s12886-021-01973-9