Vitrectomy results for rhegmatogenous retinal detachment with concomitant macular hole in non-myopic patients.

Abstract

To report on results of PPV with ILM peeling in patients with RRD and concomitant, non-causal MH and to assess for preoperative associated conditions related to this type of RRD. Patients undergoing surgical repair for RRD between 2014 and 2021 were reviewed, and subjects with concomitant, non-causal, MH were identified. A minimum follow-up of 6 months was required. We studied post-operative macular status. Over 532 eyes operated, 11 had a concurrent non-causal MH. Macula-off RRD was present in 100% of these patients.10 eyes, operated with gas tamponade were included in postoperative analysis. Preoperative PVR B or superior was recorded in 86 eyes (16.6%) of the entire cohort and in 6 eyes (54.54 %) with RRD and concomitant MH (p=0.00001). Severe hypotony with choroidal detachment was present in 15 eyes (2.81%) of the entire cohort and in 3 eyes (27.27%) with RRD and concomitant MH (p=<0.00001). RRD with concomitant MH is an infrequent association. Retinal reattachment and anatomical hole closure can be achieved in most of cases but despite this fact, functional recovery is usually not good. Preoperative PVR is a more frequent finding in this group of patients, as well as severe hypotony with choroidal detachment.