| ORIGINAL ARTICLE |
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| Year : 2013 | Volume
: 3
| Issue : 4 | Page : 141-145 |
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Myopic macular hole-associated retinal detachment with proliferative vitreoretinopathy
San-Ni Chen1, Kun-Hsien Li2, Jiunn-Feng Hwang1
1 Department of Ophthalmology, Changhua Christian Hospital; School of Medicine, Chung-Shan Medical University, Changhua City, Taiwan, ROC
2 Department of Ophthalmology, Changhua Christian Hospital, Changhua City, Taiwan, ROC
Correspondence Address:
San-Ni Chen
Department of Ophthalmology, Changhua Christian Hospital, Number 135, Nan-Hsiao Street, Changhua City, Taiwan
ROC
 Source of Support: None, Conflict of Interest: None
DOI: 10.1016/j.tjo.2013.08.002
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Purpose: The objective of this study was to report the clinical characteristics and surgical results of patients suffering from retinal detachment, which was induced by a myopic macular hole and complicated by proliferative vitreoretinopathy, but without previous vitreoretinal surgery.
Methods: Interventional case series of 22 eyes in 20 patients with excessive myopia and macular hole-associated retinal detachment complicated with proliferative vitreoretinopathy were scrutinized retrospectively. All eyes had undergone par plana vitrectomy, including peeling of the epiretinal membrane, internal limiting membrane around the macular hole, and silicone oil or perfluoropropane (C3F8) retinal tamponade. An encircling buckle was also inserted in some of the eyes. Eyes with previous vitreoretinal surgery were excluded from this review.
Results: The average age of patients was 68.3 ± 7.17 years, average duration of symptoms prior to seeing an ophthalmologist 8.36 ± 4.14 months, and average axial length 30.01 ± 1.81 mm. Nine of the 20 patients had bilateral retinal detachment. The average number of operations performed was 1.36 ± 0.58. The success rate of the initial surgery was 63.3%, which improved to 90.9% in subsequent procedures. Conclusion: A macular hole with proliferative vitreoretinopathy is associated with retinal detachment for a long duration. Retinal reattachment and improved visual acuity could be achieved in most eyes after a surgical intervention.
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