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Malek A AlRobaian, Nicola G Ghazi, Abdullah S AlKharashi; Outcomes of Macular Hole Retinal Detachment in Highly Myopic Eyes. Invest. Ophthalmol. Vis. Sci. 2014;55(13):1152.
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To determine the outcome of surgery for retinal detachment (RD) secondary to macular hole in high myopia
This is a retrospective analysis of 21 eyes with high myopia (more than 6 diptera of axial myopia) that underwent surgery for macular hole associated retinal detachment at the King Khalid Eye Specialist Hospital (KKESH) with at least 6 months follow-up.The main outcome meaures included the visual and anatomical outcomes following surgical management.
Twenty-one eyes of 21 patients (16 female and 5 male) with a mean age of 56.6 (range 15-78) years were reviewed. The mean follow-up was 23 (range 6-143) months. The mean degree of axial myopia was -13.5 (range -6 to -28 D). Seven of the eyes (33%) were pseudophakic and 5 (23%) were aphakic. A posterior staphyloma was present in 9 eyes (42%). All eyes underwent vitrectomy and internal limiting membrane peeling was performed in 13 eyes (62%). The mean preoperative visual acuity was 3/200 (range 20/125-LP) and improved to 20/300 (range 20/50-LP) postoperatively at last follow up. The retina was successfully attached in 20 eyes (95%) after one procedure and in all eyes at last follow-up. The macular hole was closed in 17 eyes (81%) after one procedure and at last follow-up visit. There were no major differences in the rate of retinal reattachment or hole closure between eyes that underwent ILM peeling and those that did not.
Vitrectomy with or without ILM peeling seems to be beneficial in RD due to macular hole in high myopia.
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