Abstract
Obiective To evaluate the clinical effects of vitrectomy with largly internal limiting membrane peeling to treat primary retinal detachment due to white macular hole in highly myopic eyes with posterior scleral staphyloma. Methods Thirty highly myopic eyes with posterior scleral staphyloma with primary retinal detachment caused by white macular hole were conducted vitrectomy. During surgery, internal limiting membrane was peeled largely from macular hole to the edge of posterior scleral staphyloma and C3F8 or silicone oil was injected intravitreously in 12 (40%)and 18 (60%)eyes, respectively. Results The retinawas reattached in 27 eyes(90%)after the first operation in 3 eyes (10%)after the reoperation (P 0.05). Conclusions Vitrectomy with largely intemal limiting membrane peeling can effectively reattach the retina due to white macular hole in highly myopic eyes with posterior scleral staphyloma without improving the visual acuity significantly. Key words: Internal limiting membrane peeling; Retinal detachment; Macular hole; High myopia
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