Efficacy of internal limiting membrane peeling and vitrectomy with triamcinolone acetonide and silicone oil tamponade for the treatment of retinal detachment with choroidal detachment attributable to macular hole in high myopia / 国际眼科杂志(Guoji Yanke Zazhi)

ABSTRACT

@#AIM: To evaluate the effects of internal limiting membrane peeling and vitrectomy with triamcinolone acetonide and silicone oil tamponade for the treatment of retinal detachment with choroidal detachment attributable to macular hole in patients with high myopia. <p>METHODS: Totally 28 eyes of 28 patients with retinal detachment associated with choroidal detachment attributable to macular hole in patients with high myopia, were treated with pars plana vitrectomy(PPV)and indocyanine green(ICG)assisted internal limiting membrane peeling(ILMP)and silicone oil tamponade. All patients had been followed up for 6-24mo. The reset rate of retinal detachment and the vision recovery, complications were analyzed. <p>RESULTS: All patients had been followed up 6-24mo. The mean LogMAR CVA was 1.01±0.31 after surgery, which significantly improved compared to that before surgery(<i>t</i>=-39.28, P<0.01). Of these 28 eyes, macular hole closed in 19 eyes(68%), macular hole did not close in 9 eyes(32%), retinal reattached in 26 eyes(93%), high intraocular pressure appeared in 6 eyes. <p>CONCLUSION: For the treatment of retinal detachment associated with choroidal detachment attributable to macular hole in patients with high myopia, PPV combined with ILMP and silicone oil tamponade and triamcinolone acetonide show a high retinal reattachment rate, which can arrest the regeneration of proliferative vitreoretinopathy.