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
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