Combined mini-invasive anterior and posterior segment surgery of retinal detachment caused by macular hole in high myopia

Abstract

Objective To observe the therapeutic effect of combined surgery of 2.2 mm microincision phacoemulsification and 23-gauge transconjunctival sutureless vitrectomy for macular hole retinal detachment in high myopia. Methods A retrospective case series study.Fifty-five eyes of 53 patients with macular hole retinal detachment (MHRD) in high myopia underwent 2.2 mm microincision phacoemulsification combined with 23-gauge vitreoretinal surgery. Postoperatively, the intraocular pressure, best-corrected visual acuity (BCVA), the rate of macular hole closure and retinal reattachment were observed. Results High intraocular pressure (IOP) after surgery were found in 18 eyes accounting for 32.73%. IOP was controlled with drug in 14 eyes, and after silicone oil removal in 2 eyes, and were controlled by trabeculectomy in 2 eyes. BCVA improved in 53 eyes and remained unchanged in 2 eyes. The difference between preoperative and postoperative BCVA was statistically significant(χ2=39.65, P=0.00). The rates of macular hole closure and retina reattachment were 94.55% and 96.36% respectively. Conclusion Combined mini-invasive surgery of anterior and posterior segment is effective on macular hole retinal detachment in high myopia. Key words: Vitreoretinal surgery; Myopia, high; Detachment, retinal, macular hole