Pars plana vitrectomy and silicone oil tamponade as a primary treatment for retinal detachment caused by macular holes in highly myopic eyes: a risk-factor analysis.

Abstract

OBJECTIVES:

To determine (i) the efficacy of silicone oil tamponade as a primary treatment for a retinal detachment (RD) resulting from a macular hole (MH) (MHRD) in highly myopic eyes, and (ii) identify variables associated with successful retinal re-attachment.

METHODS:

We retrospectively reviewed 28 eyes of 26 high myopia MHRD patients in one hospital. All eyes had been treated with pars plana vitrectomy (PPV) and silicone oil tamponade (PPV/silicone oil tamponade). Binary logistic regression was used to determine the factor(s) influencing initial anatomical success.

RESULTS:

The initial anatomical success rate was 75% (21 of 28 eyes); after silicone oil removal, the anatomical success rate was 96.4% (27 of 28 eyes). MH diameter was the only variable associated with initial anatomical success.

CONCLUSION:

PPV/silicone oil tamponade is a practical choice for treatment of MHRD in high myopia. While RDs occasionally re-occur after silicone oil treatment, these events are limited and can be managed with simple measures. A large MH is a risk factor for recurrent RD.

• Authors: Anming Xie, Jianqin Lei
• Journal: Current eye research (Curr Eye Res) Vol. 38 Issue 1 Pg. 108-13 (Jan 2013) ISSN: 1460-2202 [Electronic] England
• PMID: 22992184 (Publication Type: Comparative Study, Journal Article)

Chemical References

• Silicone Oils

Topics

• Adult
• Aged
• Female
• Follow-Up Studies
• Humans
• Injections
• Macula Lutea (pathology)
• Male
• Middle Aged
• Retinal Detachment (diagnosis, etiology, surgery)
• Retinal Perforations (complications, diagnosis, surgery)
• Retrospective Studies
• Risk Assessment (methods)
• Risk Factors
• Silicone Oils (administration & dosage)
• Tomography, Optical Coherence
• Visual Acuity
• Vitrectomy (methods)