Clinical Observation of Surgical Treatment of Retinal Detachment due to Macular Hole in High Myopia

Objective To evaluate the successful rate of surgical treatment of retinal detachment due to macular hole in high myopia,and analyze the relative reasons. Methods 11 eyes of 15 high myopic patients with retinal detachment due to macular hole underwent vitrectomy combined with the adjunct of 18%C3F8 or silicone oil. Strict prone position was conducted at least 2 weeks postoperatively. Results Macular hole closed and retina reattached in 13 eyes. Visual acuity was increased in 13 eyes,and no change in 2 eye. Postoperative complications mainly included nuclear sclerosis of the lens(2 eyes),intraocular pressure elevation(1 eye),fibrosis exudates(2 eyes),and diplopia(1 eye). Conclusion The use of vitrectomy combined with the adjunct of l8% C3F8 or silicone oil is a safe and effective method in treating retinal detachment due to macular hole in high myopia. Preoperative careful examination of ocular fundus,rational surgical design,and better surgical expertise are basic factors in treating this disease.