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R. Uemoto, S. Yamamoto, T. Yamamoto, I. Tsukahara, S. Takeuchi; Evaluation of Surgical Procedures for Retinal Detachment with Proliferative Vitreoretinopathy Resulting from Myopic Macular Hole . Invest. Ophthalmol. Vis. Sci. 2003;44(13):2983.
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Purpose: To evaluate the efficacy of pars plana vitrectomy (PPV) with epiretinal membrane (ERM) removal, combined with or without macular buckling for a retinal detachment (RD) with proliferative vitreoretinopathy (PVR) resulting from a macular hole (MH) in highly myopic eyes. Methods: A retrospective nonrandomized study was conducted at a single institution. Surgical results in 15 consecutive eyes with RD complicated with PVR were studied. PPV with ERM removal and macular buckling was performed on 6 eyes (buckling group), and PPV with ERM removal alone was performed on 9 eyes (non-buckling group). Main outcome measures were the anatomical reattachment rate and visual acuity (VA). Follow-up periods were more than 12 months in all cases. Results: The anatomic success rate was significantly higher in the buckling group (100%) than in the non-buckling group (44.4%; P=0.04). There were no significant differences in the postoperative visual acuity, and the increase of visual acuity in the two groups (P=0.09 and P=0.54, respectively). Conclusions: These results suggest that PPV combined with ERM removal and macular buckling may not only release the tangential traction over the detached retina, but also enforce the adhesion of the myopic retina, seal the MH completely, and lead to the complete reattachment of the retina.
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