Prognostic Factor Analysis of Vitrectomy for Retinal Detachment Associated with Myopic Macular Holes

Lim, Laurence Shen; Tsai, Andrew; Wong, Doric; Wong, Edmund; Yeo, Ian; Loh, Boon Kwang; Ang, C. H.; Ong, Sze Guan; Lee, Shu Yen

doi:10.1016/j.ophtha.2013.08.033

Cited by 64 publications

(50 citation statements)

References 43 publications

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“…31 Gas injection, vitrectomy, macular buckling, or combination approaches have been applied for the treatment of MHRD. 6,7,15,20,21 Among these approaches, vitrectomy for MHRD plus intraocular gas or silicone oil tamponade and ILM peeling are the most popular procedures for MHRD. 12,15,16,21 Theoretically, there is no macular defect in the center of the fovea before MHRD occurs.…”

Section: Discussionmentioning

confidence: 99%

Vitrectomy with Internal Limiting Membrane Repositioning and Autologous Blood for Macular Hole Retinal Detachment in Highly Myopic Eyes

et al. 2015

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Section: Discussionmentioning

confidence: 99%

Vitrectomy with Internal Limiting Membrane Repositioning and Autologous Blood for Macular Hole Retinal Detachment in Highly Myopic Eyes

et al. 2015

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“…High myopic macular holes (HMMH) associated with retinal detachment (RD) often causes severe visual impairment; it occurs mainly in older people with highly myopic eyes who have posterior staphyloma (Lim et al. ; Coppola et al. ).…”

Section: Introductionmentioning

confidence: 99%

A human Amniotic Membrane plug to manage high myopic macular hole associated with retinal detachment

Caporossi

Angelis

Pacini

et al. 2019

Acta Ophthalmologica

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Objective To assess the efficacy of the human amniotic membrane (hAM) to treat (HMMH) associated with retinal detachment (RD). Material and Methods Ten eyes of 10 patients with recurrent HMMH and RD, who had already undergone one or more pars plana vitrectomy (PPV), underwent a PPV with an hAM plug implanted in the macular hole. The initial five patients enrolled were tamponaded with (SO) while the subsequent five patients with 10% octafluoropropane (C3F8). Silicon oil was removed in all five patients 2 months later. No statistical differences were reported between the two groups. Results Final retinal reattachment was achieved in all the patients. BCVA improved from 1.73 logMAR to 0.94 logMAR after 6 months. No adverse events were registered during follow‐up. Conclusion An hAM plug is an efficient substrate to manage HMMH associated with RD resulting in encouraging visual acuity recovery.

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“…Macular hole (MH) with retinal detachment (RD) in eyes with high myopia remains a challenge for vitreoretinal surgeons [1, 2]. Several methods have been proposed to increase the MH closure rate after vitrectomy with internal limiting membrane (ILM) peeling, such as inverted epiretinal ILM flap [3], inverted ILM flap insertion [4] with or without blood coverage of the hole [5], temporal, or superior single-layer inverted ILM flap [6, 7].…”

Section: Introductionmentioning

confidence: 99%

Multiple Free Internal Limiting Membrane Flap Insertion in the Treatment of Macular Hole-Associated Retinal Detachment in High Myopia

2018

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Purpose: The aim of this paper was to evaluate the efficacy of multiple free internal limiting membrane (ILM) flap insertion in the management of macular hole-associated retinal detachment in high myopia. Procedures: Eyes receiving operation for macular hole-associated retinal detachment were retrospectively recruited. Those in the study group received ILM peeling and multiple free ILM flap insertion, while those in the control group received ILM peeling only. Postoperative anatomical outcomes and best-corrected visual acuity were compared between the 2 groups. Results: Twenty-seven eyes of 27 patients were recruited in this study (13 in the study group, 14 in the control group). After the operation, the retina was reattached in all cases in both groups. The macular hole closure rate was 100% in the study group but only 42.9% in the control group (adjusted p < 0.001). The eyes in the study group had better visual improvement (logMAR –0.58 ± 0.43) than those in the control group (logMAR –0.31 ± 0.50) with borderline significance (adjusted p = 0.078). Conclusions: For macular hole-associated retinal detachment in highly myopic eyes, the multiple free ILM flap insertion technique offers an effective way to close macular holes. Whether this result also means better visual outcome remains to be seen.

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Prognostic Factor Analysis of Vitrectomy for Retinal Detachment Associated with Myopic Macular Holes

Cited by 64 publications

References 43 publications

Vitrectomy with Internal Limiting Membrane Repositioning and Autologous Blood for Macular Hole Retinal Detachment in Highly Myopic Eyes

Vitrectomy with Internal Limiting Membrane Repositioning and Autologous Blood for Macular Hole Retinal Detachment in Highly Myopic Eyes

A human Amniotic Membrane plug to manage high myopic macular hole associated with retinal detachment

Multiple Free Internal Limiting Membrane Flap Insertion in the Treatment of Macular Hole-Associated Retinal Detachment in High Myopia

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