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Surgical management of retinal detachment because of macular hole in highly myopic eyes
- Publication Year :
- 2012
-
Abstract
- PURPOSE: The purpose of this study was to review the current management of macular hole retinal detachment in highly myopic eyes. METHODS: We searched English MEDLINE databases from January 1997 to January 2011 for surgical management of macular hole retinal detachment in highly myopic eyes. The main outcomes reported include retinal reattachment and visual acuity after primary surgery. RESULTS: Surgical procedures including pneumoretinopexy, pars plana vitrectomy with gas or silicone oil tamponade with or without laser therapy around the macular hole, and macular buckling have been the primary treatment choices. New techniques, including internal limiting membrane or epiretinal membrane peeling and heavy silicone oil tamponade, have been introduced over the last decade, and use of optical coherence tomography has allowed evaluation of the postoperative anatomical status of holes undetectable by conventional ophthalmoscope or lens biomicroscope. Poor functional and anatomical outcomes and nonclosure or reopening of a macular hole are still crucial problems, and some patients may require multiple procedures. CONCLUSION: Macular hole retinal detachment in highly myopic eyes is one of the most difficult types of retinal detachment to treat, and its primary treatment choice is still controversial, although the different surgical techniques reported in this review have been demonstrated as good surgical options. Randomized clinical trials are largely lacking. © Lippincott Williams & Wilkins.
- Subjects :
- medicine.medical_specialty
genetic structures
highly myopic eye
Endotamponade
Ophthalmologic Surgical Procedures
Retinal detachment surgery
Ophthalmology
medicine
Humans
Macular hole
treatment
business.industry
Retinal Detachment
Retinal detachment
General Medicine
medicine.disease
Retinal Perforations
eye diseases
macular hole
Current management
Myopia, Degenerative
Retinal Perforation
sense organs
business
Ophthalmologic Surgical Procedure
Human
Subjects
Details
- Database :
- OpenAIRE
- Accession number :
- edsair.doi.dedup.....9651893cd0aa6df75e6e59b8503d41d1