Combined or Sequential Surgery for Management of Rhegmatogenous Retinal Detachment With Macular Holes

Abstract

The results of this study suggest that good anatomic and visual outcome can be achieved using either approach. Visual acuity improved in all patients from both groups. In sequential surgery some of the macular holes may close spontaneously. However, combined surgery offers the clinical and cost benefit of a single procedure.

<p>Human Amniotic Membrane Plug for Macular Holes Coexisting with Rhegmatogenous Retinal Detachment</p>

“…One study compared two treatment strategies in dealing with rhegmatogenous retinal detachment and coexisting macular holes. 8 Patients in the combined surgery group had vitrectomy, internal limiting membrane peel, retinopexy to the peripheral breaks, and gas tamponade. Patients in the sequential group had vitrectomy, retinopexy to the peripheral breaks, and gas tamponade with macular hole surgery as a secondary procedure.…”

“…3,7 Then, trials to improve the visual outcome by tackling the problem of macular hole started, either in the same setting or sequentially. 8 The main problem in this clinical situation is the difficulty to peel the internal limiting membrane over a detached macula which can lead to macular hole enlargement or macular trauma. There is also a risk of dyes getting in the subretinal space leading to toxic effects.…”

“… 3 , 7 Then, trials to improve the visual outcome by tackling the problem of macular hole started, either in the same setting or sequentially. 8 …”

Yırtıklı Retina Dekolmanına Eşlik Eden Makula Deliği Olan İki Olguda Cerrahi

“…1,2 Macular holes can also occur secondary to a retinal detachment (RD) caused by peripheral retinal breaks. [3][4][5][6][7] Herein, we describe two patients with macula-off rhegmatogenous RD (RRD) with coexistent full-thickness macular hole (FTMH).…”

Vitrectomy Results for Rhegmatogenous Retinal Detachment With Concomitant Macular Hole in Nonmyopic Patients

“…There are only few published series that discuss the results of vitrectomy with inner limiting membrane (ILM) peeling in RRDs with coexistent and noncausal MH. 1,4,11,12 Moreover, only a few authors have studied the possible association of some preoperative findings with this type of RRD. 6–9…”