Treatment of retinal detachment due to macular hole with vitreoretinal surgery in high myopia / 医学研究生学报
Journal of Medical Postgraduates
; (12)2003.
Article
in Zh
| WPRIM
| ID: wpr-584787
Responsible library:
WPRO
ABSTRACT
Objective:
To investigate the efficacy of Vitreoretinal surgery for retinal detachment due to macular hole in high myopia.Methods:
20 cases( 20 eyes) of retinal detachment due to macular hole in high myopia from Dec. 2000 to Apr. 2004 were analysed retrospectively. 3 cases were male and 17 were female, with a following up of 2 to 30 months (15 months in average). The Pars Plana Vitrectomy with long acting gas or silicon oil tamponade were used. The patients were kept face down at least 7 days after the surgery.Results:
5 eyes used silicon oil and the others used gas tamponade. The successful rate of retinal reattachment was 80% ( 16/20) with one procedure in a month after the surgery . There were 4 cases of retinal redetachment in the follow-up duration, among them 3 cases used gas and one used silicon oil tamponade. All of them refused to accept another surgery. There were 3 eyes ( 15%) of the best corrected visual acuity greater than or equal to 0.05 before surgery and 11 eyes ( 55%) equal to or greater than 0.05 after the surgery. There was a significant difference between them(P= 0.0386 ). The main complications were slight retinal bleeding in 3 eyes ( 15%); second glaucoma in 2 eyes (10 %); nuclear cataract in 4 eyes ( 20%).Conclusion:
Vitreoretinal surgery for retinal detachment with macular hole is available to improve visual acuity in high myopia.
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Index:
WPRIM
Language:
Zh
Journal:
Journal of Medical Postgraduates
Year:
2003
Type:
Article