Vitrectomy for Retinal Detachments With Both Peripheral Retinal Breaks and Macular Holes

Abstract

Pars plana vitrectomy with gas tamponade is an effective method of treating this form of retinal detachment. Some macular holes close after this surgery.

Internal Limiting Membrane Flaps for Coexistent Macular Hole and Retinal Detachment in Eyes with Proliferative Diabetic Retinopathy

“…High MH closure rates can be achieved. Other than high myopia, MH with RD may appear in several other conditions, such as severe vitreomacular traction, proliferative diabetic retinopathy (PDR) [ 8 , 9 ], or complicated rhegmatogenous retinal detachment (RRD) from peripheral breaks [ 10 – 12 ].…”

Vitreous surgery for macular hole-related retinal detachment after phacoemulsification cataract extraction: 10-year retrospective review

“…MHRD occurs as a separate entity in highly myopic eyes. 24 Furthermore, nine patients (100%) had VA improvement after phacoemulsification. In 10 patients, the macular holes were seen after cataract surgery.…”

Secondary macular holes: when to jump in and when to stay out

“…An SMH may occur along with peripheral breaks when PVD occurs, causing an acute RRD; or it may follow de-roofing of a central cyst in the chronic CME that accompanies a longstanding RRD [47].…”

“…One surgical step sometimes suggested in literature -endo-drainage through the macular hole[37,47,69] -is forbidden in the author's opinion. This step is likely to traumatize the hole edges and compromise recovery; and is not necessary for closure of SMH[46].…”