Abstract
Purpose. To evaluate the efficacy of silicone oil (S.O) reinjection without macular buckling for treatment of recurrent myopic macular hole retinal detachment (MHRD) after silicone oil removal. Methods. A retrospective consecutive interventional study from medical reports on cases of myopic MHRD. Fifty-three eyes of 51 patients underwent silicone oil removal after successful repair of MHRD were reviewed. The main outcomes were the retinal status after silicone oil removal and management of recurrent cases. Results. The rate of recurrent RD (Re RD) after silicone oil removal was 11.3% (6 out of 53 eyes). One case refused any other interference. In the remaining 5 eyes, 4 eyes (80%) could be reattached by S.O re-injection and one eye (20%) developed Re RD after S.O re-injection. Range of followup after management of recurrence was 5–53 months (mean 18.7 months). Conclusions. This case series concluded that the risk factors for recurrent RD after silicone oil removal from cases of myopic MHRD were high myopia, open flat MH, and large posterior staphyloma. Revision of vitrectomy and S.O re-injection can reattach most of recurrent cases.
Highlights
Macular hole retinal detachment (MHRD) is defined as retinal detachment without associated peripheral breaks [1]
The statistical analysis was performed using a commercially available statistical software package (SPSS for windows, version 12.0). This was a retrospective review on 53 eyes of 51 patients who underwent silicone oil removal after successful repair of myopic MHRD
There is a debate about treatment of recurrent myopic macular hole RD after silicone oil removal
Summary
Macular hole retinal detachment (MHRD) is defined as retinal detachment without associated peripheral breaks [1]. Retinal detachment secondary to macular hole during the degenerative changes of highly myopic eyes is one of the most important causes of blindness or loss of central vision. Myopic eyes are often accompanied by pathologic fundus changes, such as posterior pole chorioretinal atrophy and posterior staphyloma [2]. Several procedures were introduced for the repair of MHRD, including primary gas tamponade, pars plana vitrectomy (PPV) with gas tamponade, silicone oil (S.O) tamponade, and internal limiting membrane (ILM) dissection [3, 4]. There is no available information regarding the possibility of successful silicone oil removal associated with the postoperative macular configuration [5]
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