Surgical Outcome of Epiretinal Membrane and Internal Limiting Membrane Removal for Macular Hole Retinal Detachment

PURPOSE: To evaluate the postoperative surgical outcome of vitreous surgery with removal of the internal limiting membrane assisted by indocyanine green (ICG) and the epiretinal membrane assisted by triamcinolone acetonide (TA.) METHODS: We examined the posterior vitreous state with ultrasound and OCT. The procedures performed included pars plana vitrectomy with internal limiting membrane removal assisted by ICG and epiretinal membrane peeling assisted by TA. We prospectively examined 9 eyes with retinal detachment resulting from a macular hole and with follow-up periods longer than 12 months. The main outcome was evaluated by the anatomical success rate, functional success rate, and postoperative complications. RESULTS: In the 7 of 9 eyes, the retina was reattached with closure of the macular hole and without closure of the macular hole in 1 of 9 eyes. Successful retinal reattachment was achieved in 8 eyes (88%) after the initial surgery and in one eye after an additional operation. Visual acuity was improved in 7 eyes, was unchanged in one eye, and decreased in one eye. The functional success rate was 78%. CONCLUSIONS: In retinal detachment resulting from a macular hole, removal of the internal limiting membrane by ICG, and the posterior hyaloid membrane and epiretinal membrane by TA typically results in anatomical and functional success.

Binocular Retinal Detachment after Incomplete Diving

PURPOSE: To report a case of traumatic retinal detachment associated with ocular injury in incomplete diving. METHODS: A 15-year-old female complaining of floaters before the eyes was referred to our hospital. In both fundus, we found retinal holes in inferonasal quadrant. We investigated physical properties of retinal detachment associated with diving. RESULTS: When the human body falls down from 10 m height, the impact power is the same as the pressure exerted by 595 kg weight to the body for one second. And this power may cause retinal detachment. CONCLUSIONS: Today there are many sport activities and retinal injuries can occur by various mechanism. We report our clinical experience with retinal detachment associated with diving.