Surgical Treatment of Retinal Detachment Caused by Macular Hole Combined with Cataract

Objective:To evaluate the clinical effect of combined surgery for the treatment of retinal detachment caused by macular hole with cataract.Methods:Thirty-two consecutive cases(32 eyes) of retinal detachment caused by macular hole with cataract were prospectively collected from January 2004 to September 2010.All the 32 eyes underwent a triple procedure phacoemulsification,pars plana vitrectomy,and foldable intraocular lens implantation.The procedure of pars plana vitrectomy included vitrectomy,epiretinal membrane peeling,air-fluid exchange,endophotocoagulation and C3F8 tamponade.Results:After six months' follow-up,the retinas were attached in 29 retinal detachments(90.6%),the post-operative visual acuity of 26 eyes(81.2%) was improved,and the best corrected visual acuity was 0.4.Conclusion:It is an efficient approach to combine vitrectomy with phacoemulsification for the treatment of retinal detachment caused by macular hole with cataract.