The treatment of macular hole retinal detachment in high myopia by internal limiting membrane peeling combined with silicone oil tamponade

Objective To observe the effect of surgical treatment for the macular hole retinal detachment in high myopia by internal limiting membrane peeling combined with silicone oil tamponade. Methods From January 2009 to July 2013, 26 eyes of 26 patients with macular hole retinal detachment in high myopia in our department underwent vitrectomy combined with internal limiting membrane peeling and silicone oil tamponade. The best corrected visual acuity, postoperative retinal reattachment, the macular hole closure and complications were recorded in the follow-up of 12-24 months. Results All the 26 eyes got retinal reattachment after the first operation. Among them, 22 eyes kept retinal attachment after removal of silicone oil, 4 eyes occurred recurrent retinal detachment after removal of silicone oil. By laser photocoagulation in retinal around the macular hole and silicone oil tamponade, the retina reattached again. Six months later, the silicone oil was removed , the retinal kept attachment still. At the end of follow-up, the best corrected visual acuity improved in 20 eyes, unchanged in 4 eyes, dropped in 2 eyes. Conclusion Vitrectomy combined with internal limiting membrane peeling and silicone oil tamponade is an effective treatment for macular hole retinal detachment in high myopia. Key words: Myopia, high; Macular hole; Retinal detachment; Vitrectomy