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N. Miyano, A. Tashimo, Y. Mitamura, K. Ohthuka; Internal Limiting Membrane Removal for Retinal Detachment With Macular Hole in Eyes With High Myopia . Invest. Ophthalmol. Vis. Sci. 2005;46(13):5532.
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Purpose:To report surgical outcome following vitrectomy with internal limiting membrane (ILM) removal for retinal detachment due to macular hole in highly myopic eyes. Methods:Thirty–three eyes with high myopia and retinal detachment due to macular hole were retrospectively studied. Thirteen eyes underwent pars plana vitrectomy with ILM peeling and gas tamponade as an initial surgery (group1). Sixteen eyes underwent vitrectomy without ILM peeling and gas tamponade (group2). Four eyes underwent vitrectomy and peripheral scleral infolding (group3). lLM was removed in larger area than the extent of posterior staphyloma using indocyanine green in group1. The rate of anatomic success and postoperative improvement of visual acuity were compared among each groups. Results:Retinal reattachment was achieved in 12 (92.3%) of the 13 eyes in group1, 10 (62.5%) of the 16 eyes in group2, and all (100%) of the 4 eyes in group3 after the initial surgery. In group2, 4 of the 10 eyes with postoperative retinal attachment developed re–detachment. Macular hole closed postoperatively in 8 eyes (61.5%) in group1, 8 eyes (50%) in group2 and 3 eyes (75%) in group3. Postoperative visual acuity improved two or more lines in 8 eyes (61.5%) in group1, 6 eyes (37.5%) in group2, and one (25%) eye in group3. Conclusions:Surgical outcomes such as rate of retinal reattachment, rate of postoperative macular hole closure, and postoperative improvement of visual acuity were good in vitrectomy with ILM removal as compared with other surgical procedures. Vitrectomy with ILM removal and gas tamponade might be first choice for retinal detachment with macular hole in eyes with high myopia.
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