Tags

Type your tag names separated by a space and hit enter

Surgical management of retinal detachment associated with myopic macular hole: anatomic and functional status of the macula.
Am J Ophthalmol. 2003 Aug; 136(2):277-84.AJ

Abstract

PURPOSE

To evaluate the postoperative status of the macula after vitreous surgery with internal limiting membrane removal for macular hole related retinal detachment in patients with severe myopia.

DESIGN

Interventional case series.

METHODS

We prospectively examined 10 eyes with retinal detachment associated with a myopic macular hole from 10 consecutive patients, and performed pars plana vitrectomy with internal limiting membrane peeling. Macular buckling was performed in one eye during the initial treatment and in three eyes during subsequent operations. The main outcome measures were the anatomic reattachment rate and the postoperative status of the macular hole. We examined the macular area pre- and postoperatively with slit-lamp biomicroscopy and with a scanning laser ophthalmoscope. Cross-sectional imaging of the macular area was conducted with optical coherence tomography.

RESULTS

Successful retinal reattachment was achieved in seven eyes (70%) after the initial surgery and in three eyes (30%) after additional procedures. Visual acuity remained unchanged in two eyes (20%), and improved by two or more logarithmic units of minimum angle of resolution (logMAR) measurement in eight eyes (80%). The macular hole was anatomically closed in only one eye (10%). Postoperative enlargement of the macular hole was observed in seven eyes.

CONCLUSIONS

In highly myopic eyes with macular hole related retinal detachment, closure of the macular hole is difficult to attain despite the complete relief of tangential traction by internal limiting membrane peeling. Results indicate the presence of a possible imbalance between the retina and the choroid-sclera complex associated with axial elongation and posterior staphyloma in highly myopic eyes.

Authors+Show Affiliations

Department of Ophthalmology, Niigata University School of Medicine, Asahimachi, Niigata, Japan. ichibem@med.niigata-u.ac.jpNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

12888050

Citation

Ichibe, Mikio, et al. "Surgical Management of Retinal Detachment Associated With Myopic Macular Hole: Anatomic and Functional Status of the Macula." American Journal of Ophthalmology, vol. 136, no. 2, 2003, pp. 277-84.
Ichibe M, Yoshizawa T, Murakami K, et al. Surgical management of retinal detachment associated with myopic macular hole: anatomic and functional status of the macula. Am J Ophthalmol. 2003;136(2):277-84.
Ichibe, M., Yoshizawa, T., Murakami, K., Ohta, M., Oya, Y., Yamamoto, S., Funaki, S., Funaki, H., Ozawa, Y., Baba, E., & Abe, H. (2003). Surgical management of retinal detachment associated with myopic macular hole: anatomic and functional status of the macula. American Journal of Ophthalmology, 136(2), 277-84.
Ichibe M, et al. Surgical Management of Retinal Detachment Associated With Myopic Macular Hole: Anatomic and Functional Status of the Macula. Am J Ophthalmol. 2003;136(2):277-84. PubMed PMID: 12888050.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Surgical management of retinal detachment associated with myopic macular hole: anatomic and functional status of the macula. AU - Ichibe,Mikio, AU - Yoshizawa,Toyohisa, AU - Murakami,Kenji, AU - Ohta,Masayuki, AU - Oya,Yoshimi, AU - Yamamoto,Susumu, AU - Funaki,Shigeo, AU - Funaki,Haruko, AU - Ozawa,Yumi, AU - Baba,Eriko, AU - Abe,Haruki, PY - 2003/7/31/pubmed PY - 2003/8/13/medline PY - 2003/7/31/entrez SP - 277 EP - 84 JF - American journal of ophthalmology JO - Am. J. Ophthalmol. VL - 136 IS - 2 N2 - PURPOSE: To evaluate the postoperative status of the macula after vitreous surgery with internal limiting membrane removal for macular hole related retinal detachment in patients with severe myopia. DESIGN: Interventional case series. METHODS: We prospectively examined 10 eyes with retinal detachment associated with a myopic macular hole from 10 consecutive patients, and performed pars plana vitrectomy with internal limiting membrane peeling. Macular buckling was performed in one eye during the initial treatment and in three eyes during subsequent operations. The main outcome measures were the anatomic reattachment rate and the postoperative status of the macular hole. We examined the macular area pre- and postoperatively with slit-lamp biomicroscopy and with a scanning laser ophthalmoscope. Cross-sectional imaging of the macular area was conducted with optical coherence tomography. RESULTS: Successful retinal reattachment was achieved in seven eyes (70%) after the initial surgery and in three eyes (30%) after additional procedures. Visual acuity remained unchanged in two eyes (20%), and improved by two or more logarithmic units of minimum angle of resolution (logMAR) measurement in eight eyes (80%). The macular hole was anatomically closed in only one eye (10%). Postoperative enlargement of the macular hole was observed in seven eyes. CONCLUSIONS: In highly myopic eyes with macular hole related retinal detachment, closure of the macular hole is difficult to attain despite the complete relief of tangential traction by internal limiting membrane peeling. Results indicate the presence of a possible imbalance between the retina and the choroid-sclera complex associated with axial elongation and posterior staphyloma in highly myopic eyes. SN - 0002-9394 UR - https://www.unboundmedicine.com/medline/citation/12888050/Surgical_management_of_retinal_detachment_associated_with_myopic_macular_hole:_anatomic_and_functional_status_of_the_macula_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002939403001867 DB - PRIME DP - Unbound Medicine ER -