J Korean Ophthalmol Soc.  2015 Oct;56(10):1566-1571. 10.3341/jkos.2015.56.10.1566.

Silicone Oil with Short-Term Prone Position in Macular Hole Retinal Detachment Surgery in High Myopia

• Park JH
• Kim MH
• Sagong M
• Chang WH

• KMID: 2214416
• DOI: http://doi.org/10.3341/jkos.2015.56.10.1566

Abstract

PURPOSE
To evaluate the result of vitrectomy with internal limiting membrane peeling and silicone oil tamponade with short term face-down positioning in highly myopic patients with retinal detachment due to macular hole.
METHODS
Eleven eyes of highly myopic patients with retinal detachment caused by macular hole were retrospectively reviewed. All patients underwent pars plana vitrectomy, internal limiting membrane peeling, and silicone oil tamponade with short term (1-3 days) face-down positioning. Silicone oil was removed between 6 and 12 months postoperatively. Outcomes included best-corrected visual acuity, retinal reattachment rate, macular hole closure, and complications.
RESULTS
The mean age of patients was 63.3 +/- 8.3 years. During the silicone oil period, all 11 eyes (100%) had complete retinal attachment. After silicone oil removal, retinal detachment recurred in 2 eyes (18.2%). Macular hole closure was observed in 8 eyes (72.7%). The best corrected visual acuity (log MAR) improved from 1.99 +/- 0.94 before surgery to 1.33 +/- 0.62 at final visit.
CONCLUSIONS
Pars plana vitrectomy, internal limiting membrane peeling and silicone oil tamponade with short term face-down positioning was effective in treating retinal detachment caused by macular hole in highly myopic eyes.

Keyword

Face-down; High myopia; Macular hole; Retinal detachment; Silicone oil

MeSH Terms

Humans
Membranes
Myopia*
Prone Position*
Retinal Detachment*
Retinal Perforations*
Retinaldehyde*
Retrospective Studies
Silicone Oils*
Visual Acuity
Vitrectomy
Retinaldehyde
Silicone Oils

Figure

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  Figure 1. Changes in preoperative and final BCVA. BCVA = best corrected visual acuity.

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  Figure 2. Preoperative fundus photograph (A) and optical coherence image (B) and postoperative fundus photograph (C) and optical coherence image (D) after silicone oil removal (case 4).

Reference

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