| Silicone Oil with Short-Term Prone Position in Macular Hole Retinal Detachment Surgery in High Myopia. |
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Ju Hong Park, Moo Hyun Kim, Min Sagong, Woo Hyok Chang |
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Department of Ophthalmology, Yeungnam University College of Medicine, Daegu, Korea. changwh@ynu.ac.kr |
| 고도근시안에서 황반원공에 의한 망막박리 환자의 단기간 안면하체위 실리콘기름 주입술의 효과 |
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박주홍⋅김무현⋅사공민⋅장우혁 |
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영남대학교 의과대학 안과학교실 |
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Received: 29 January 2015 • Revised: 4 July 2015 • Accepted: 21 September 2015 |
| Abstract |
PURPOSE
To evaluate the result of vitrectomy with internal limiting membrane peeling and silicone oil tamponade with short term face-down positioning in highly myopic patients with retinal detachment due to macular hole. METHODS: Eleven eyes of highly myopic patients with retinal detachment caused by macular hole were retrospectively reviewed. All patients underwent pars plana vitrectomy, internal limiting membrane peeling, and silicone oil tamponade with short term (1-3 days) face-down positioning. Silicone oil was removed between 6 and 12 months postoperatively. Outcomes included best-corrected visual acuity, retinal reattachment rate, macular hole closure, and complications. RESULTS: The mean age of patients was 63.3 +/- 8.3 years. During the silicone oil period, all 11 eyes (100%) had complete retinal attachment. After silicone oil removal, retinal detachment recurred in 2 eyes (18.2%). Macular hole closure was observed in 8 eyes (72.7%). The best corrected visual acuity (log MAR) improved from 1.99 +/- 0.94 before surgery to 1.33 +/- 0.62 at final visit. CONCLUSIONS: Pars plana vitrectomy, internal limiting membrane peeling and silicone oil tamponade with short term face-down positioning was effective in treating retinal detachment caused by macular hole in highly myopic eyes. |
| Key Words:
Face-down;High myopia;Macular hole;Retinal detachment;Silicone oil |
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