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T.–C. Ho, C.–H. Lin; Optical Coherence Tomography to Detect the Foveal Reconstruction in Primary Silicone Oil Tamponade Without Retinopexy in Highly Myopic Eyes With Central Macular Hole Detachments . Invest. Ophthalmol. Vis. Sci. 2006;47(13):1479.
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© ARVO (1962-2015); The Authors (2016-present)
The ideal treatment for highly myopic macular hole central retinal detachments is not yet well established. Optical coherence tomography (OCT) and automated visual field examination were performed to analyze anatomic and functional outcomes for eyes undergoing vitrectomy with primary silicone oil filling without central photocoagulation.
Fouteen patients with central macular hole detachments and myopia ranging from –10.5 to –22.0 diopters underwent vitrectomy and primary silicone oil filling without laser photocoagulation of the central retina. OCT and automated visual field examination were done.
In thirteen eyes, the retina was attached by the first postoperative day and remained attached until the end of the follow–up period. In one eye, supplementary silicone oil instillation was needed to completely tamponade the macular hole. No severe intra– or postoperative complications were noted. Visual acuity increased in 9 of 14 eyes, remained unchanged in 5 of 14 eyes. OCT showed well–sealed central hole without retinal schisis or subretinal fluid. Smooth foveal depression over central retina was also impressed in some cases. Automated visual field examination showed preserved central field.
Vitrectomy plus primary silicone oil tamponade without endophotocoagulation is an effective method to treat central macular hole detachments in high myopic eyes. In addition to restoration of foveal contour without laser damage, silicone oil as inductor and scaffold for glial closure of the macular hole might contribute to the preservation of central vision.
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