Primary silicone oil tamponade and internal limiting membrane peeling for retinal detachment due to macular hole in highly myopic eyes with chorioretinal atrophyReport as inadecuate




Primary silicone oil tamponade and internal limiting membrane peeling for retinal detachment due to macular hole in highly myopic eyes with chorioretinal atrophy - Download this document for free, or read online. Document in PDF available to download.

BMC Ophthalmology

, 15:165

First Online: 11 November 2015Received: 22 April 2015Accepted: 04 November 2015

Abstract

BackgroundRetinal detachment RD secondary to macular hole MH is a common complication in highly myopic eyes, usually leading to a poor visual prognosis. The purpose of this study was to evaluate the surgical outcome of silicone oil SO tamponade and internal limiting membrane ILM peeling in the treatment of RD caused by MH MHRD in highly myopic eyes with chorioretinal atrophy, and to identify clinical factors associated with the anatomical outcomes.

MethodsWe retrospectively reviewed 21 eyes of 21 highly myopic patients affected by RD secondary to MH and chorioretinal atrophy. All eyes were treated with pars plana vitrectomy PPV with ILM peeling and SO tamponade. Anatomical success was defined as reattachment of the retina with the closure of the MH, as assessed by optical coherence tomography OCT, after SO removal. Logistic regression was performed to determine the clinical factors influencing anatomical success.

ResultsThe mean patient age was 59.95 years standard deviation SD, 10.39; range, 34–77 years and the mean axial length was 30.58 mm SD, 1.52; range, 27.99–34.51 mm. After the first surgical procedure, the anatomical success rate was 61.9 % 13 eyes in 21 eyes, with initial retinal attachment of16 eyes 76.2 %. A second surgical approach was performed for the five eyes with persistent or recurrent RD, and the final retinal reattachment rate was 100 % 21-21. Logistic regression analysis showed that no specific factors were significantly associated with anatomical success.

ConclusionsPrimary silicone oil tamponade and ILM peeling can be a practical treatment for repairing MHRD in highly myopic eyes with chorioretinal atrophy.

KeywordsMyopia Macular hole Retinal detachment Chorioretinal atrophy AbbreviationsAXLAxial length

BCVABest-corrected visual acuity

DCADiffuse chorioretinal atrophy

ERMEpiretinal membrane

ICGIndocyanine green

ILMInternal limiting membrane

IOPIntraocular pressure

MBMacular buckling

MHMacular hole

OCTOptical coherent tomography

PCAPatchy chorioretinal atrophy

PPVPars plana vitrectomy

PVDPosterior vitreous detachment

PVRProliferative vitreous retinopathy

RDRetinal detachment

RPERetinal pigment epithelium

SDStandard deviation

SOSilicone oil

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Author: Nan Hong - Bai-shuang Huang - Jian-ping Tong

Source: https://link.springer.com/







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