Vitreoretinal surgery without internal limiting membrane peeling for retinal detachment with macular hole and high myopia

Abstract

Objective To evaluate the efficacy of vitreoretinal surgery without internal limiting membrane (ILM) peeling for retinal detachment with macular hole and high myopia. Methods A total of 12 eyes of 11 patients of retinal detachment with macular hole and high myopia were analyzed retrospectively. They underwent vitreoretinal surgery from June 2012 to October 2014. The pars plana vitrectomy combined with silicon oil tamponade was performed without internal limiting membrane (ILM) peeling, and epiretinal membrane was peeled with Triamcinolone acetonide assistance during the surgery. After the surgery, the patients were kept face down position at least for 2 weeks. The follow-up time was 1 to 10 months. The condition of retina, macular hole and the visual acuity were observed. Results The retina was reattached in all the 12 eyes. The visual acuity improved in 11 eyes and remained unchanged in 1 eye. The macular of hole closed in 3 eyes. Conclusion The vitreoretinal surgery without ILM peeling combined with silicon oil tamponade is a minimally invasive and safe technique for retinal detachment with macular hole and high myopia. Key words: Myopia, high; Macular hole; Retinal detachment; Vitreoretinal surgery, Without internal limiting membrane peeling