Clinical Evaluation for Patients with Retinal Detachment Caused by Macular Hole.

Kim, Min Jeong; Kim, Min Ho; Yoo, Jin Seong; Huh, Warne

Original Article

Journal of the Korean Ophthalmological Society 1999;40(5):1269-1275.
Published online May 1, 1999.

Clinical Evaluation for Patients with Retinal Detachment Caused by Macular Hole.

Min Jeong Kim, Min Ho Kim, Jin Seong Yoo, Warne Huh

Department of Ophthalmology, Kangnam St. Mary`s Hospital, The Catholic University of Korea, College of Medicine.

황반원공에 의한 망막박리 환자에서의 임상양상 및 수술성적에 대한 고찰

김민호(Min Ho Kim),유진성(Jin Sung Yoo),허원(Warne Huh),김민정(Min Jeong Kim)

Abstract

We investigated the surgical outcomes in 19 eyes with retinal detachment(RD)caused by macular hole only. 15 eyes were high-myopic(>-8.0Ds), and the mean preoperative axial-length was 28.30 mm. As an initial treatment method, simple gas injection was done to 2 eyes, and pars plana vitrecto-my(PPV), air-fluid exchange and subretinal fluid drainage with intravitreal tamponade were performed in 17 eyes. The retina of 2 eyes with simple gas injection was not attached because of persistent vitreoretinal traction. PPV with intravitreal tamponade was successful in 12 of 17 eyes with a single operation, and reoperation was effective in 3 eyes of the failed 5 eyes. We conclude that, in case of retinal detachment caused by macular hole, the success rate can be improved by PPV with complete removal of vitreoretinal traction along with the long-lasting intravitreal tamponade.

Key Words: High myopia;Intravitreal tamponade;Macular hole;Parsplana vitrectomy;Retinal detachment;Vitreoretinal traction