Surgical Outcomes of Vitrectomy for Macular Hole Retinal Detachment in Highly Myopic Eyes: A Multicenter Study

Masashi Kakinoki; Takashi Araki; Masanori Iwasaki; Tetsuo Ueda; Hiroki Sano; Yoshio Hirano; Yuki Moriya; Osamu Sawada; Yoshihiro Takamura; Taiji Sakamoto; Takayuki Kanda; Masahito Ohji; Japan Clinical Retinal Study Team

doi:10.1016/j.oret.2019.04.026

Surgical Outcomes of Vitrectomy for Macular Hole Retinal Detachment in Highly Myopic Eyes: A Multicenter Study

Ophthalmol Retina. 2019 Oct;3(10):874-878. doi: 10.1016/j.oret.2019.04.026. Epub 2019 May 3.

Authors

Affiliations

¹ Department of Ophthalmology, Shiga University of Medical Science, Otsu, Japan. Electronic address: kakinoki@belle.shiga-med.ac.jp.
² Department of Ophthalmology, Hyogo College of Medicine, Nishinomiya, Japan.
³ Department of Ophthalmology, Sapporo City General Hospital, Sapporo, Japan.
⁴ Department of Ophthalmology, Nara Medical University, Kashihara, Japan.
⁵ Department of Ophthalmology, Tokushima University, Tokushima, Japan.
⁶ Department of Ophthalmology, Nagoya City University, Nagoya, Japan.
⁷ Department of Ophthalmology, University of Tsukuba, Tsukuba, Japan.
⁸ Department of Ophthalmology, Shiga University of Medical Science, Otsu, Japan.
⁹ Department of Ophthalmology, University of Fukui, Fukui, Japan.
¹⁰ Department of Ophthalmology, Kagoshima University, Kagoshima, Japan.
¹¹ Department of Ophthalmology, National Defense Medical College, Tokorozawa, Japan.

PMID: 31257070
DOI: 10.1016/j.oret.2019.04.026

Abstract

Purpose: To investigate surgical outcomes of macular hole retinal detachment (MHRD) in highly myopic eyes.

Design: Multicenter, retrospective case study.

Participants: One hundred ten eyes with retinal detachment resulting from macular hole (MH) were evaluated.

Methods: The medical records of consecutive patients who underwent vitrectomy between January 2010 and December 2015, inclusive, to treat MHRD in 10 hospitals of the Japan Clinical Retinal Study Team were reviewed.

Main outcome measures: Retinal reattachment rate and MH closure rate after the initial surgery.

Results: One hundred ten eyes of 110 patients were studied. The retina was reattached in 85% of eyes and MH was closed in 52% of eyes after the initial surgery. Eyes with gas tamponade achieved higher reattachment rate than those with silicone oil tamponade.

Conclusions: The gas tamponade group achieved better retinal reattachment rate than silicone oil tamponade group. Gas tamponade could be the first choice for MHRD.

Publication types

Multicenter Study

MeSH terms

Adult
Aged
Aged, 80 and over
Female
Humans
Male
Middle Aged
Myopia, Degenerative / complications*
Retina / pathology*
Retinal Detachment / diagnosis
Retinal Detachment / surgery*
Retinal Perforations / diagnosis
Retinal Perforations / etiology
Retinal Perforations / surgery*
Retrospective Studies
Tomography, Optical Coherence / methods
Treatment Outcome
Visual Acuity*
Vitrectomy / methods*