Vitrectomy and fluid/silicone oil exchange for retinal detachment due to Macular hole in high myopes

ABSTRACT

Seventeen eyes with retinal detachment due to macular hole associated with high myopia and significant staphyloma and chorioretinal atrophy at the posterior pole were treated successfully. Our method involves the use of an encircling band, pars plana vitrectomy, fluid/silicone oil exchange, internal drainage of subretinal fluid and prone positioning of the patient for 24 hours. Macular coagulation and macular buckling were not necessary. In all eyes the retina remained flat during follow-up periods ranging from 6 to 20 months