Primary Silicone Oil Tamponade and Internal Limiting Membrane Peeling for Retinal Detachment Due to Macular Hole in Highly Myopic Eyes with Chorioretinal Atrophy

Overview

Journal BMC Ophthalmol

Publisher Biomed Central

Specialty Ophthalmology

Date 2015 Nov 13

PMID 26560878

Citations 6

Authors

Nan Hong

Bai-shuang Huang

Jian-Ping Tong

Affiliations

Soon will be listed here.

Abstract

Background: Retinal detachment (RD) secondary to macular hole (MH) is a common complication in highly myopic eyes, usually leading to a poor visual prognosis. The purpose of this study was to evaluate the surgical outcome of silicone oil (SO) tamponade and internal limiting membrane (ILM) peeling in the treatment of RD caused by MH (MHRD) in highly myopic eyes with chorioretinal atrophy, and to identify clinical factors associated with the anatomical outcomes.

Methods: We retrospectively reviewed 21 eyes of 21 highly myopic patients affected by RD secondary to MH and chorioretinal atrophy. All eyes were treated with pars plana vitrectomy (PPV) with ILM peeling and SO tamponade. Anatomical success was defined as reattachment of the retina with the closure of the MH, as assessed by optical coherence tomography (OCT), after SO removal. Logistic regression was performed to determine the clinical factors influencing anatomical success.

Results: The mean patient age was 59.95 years [standard deviation (SD), 10.39; range, 34-77 years] and the mean axial length was 30.58 mm (SD, 1.52; range, 27.99-34.51 mm). After the first surgical procedure, the anatomical success rate was 61.9% (13 eyes in 21 eyes), with initial retinal attachment of 16 eyes (76.2%). A second surgical approach was performed for the five eyes with persistent or recurrent RD, and the final retinal reattachment rate was 100% (21/21). Logistic regression analysis showed that no specific factors were significantly associated with anatomical success.

Conclusions: Primary silicone oil tamponade and ILM peeling can be a practical treatment for repairing MHRD in highly myopic eyes with chorioretinal atrophy.

Citing Articles

The Role of Internal Limiting Membrane Flap for Highly Myopic Macular Hole Retinal Detachment: Improving the Closure Rate but Leading to Excessive Gliosis.

Chen Y, Wang J, Ye X, Yu J, Tao J, Lin L Front Med (Lausanne). 2022; 8:812693.

PMID: 35004792 PMC: 8733330. DOI: 10.3389/fmed.2021.812693.

Factors Associated with Anatomic Failure and Hole Reopening after Macular Hole Surgery.

Li Y, Jin S, Shi L, Qin H, Zhao J J Ophthalmol. 2021; 2021:7861180.

PMID: 34917414 PMC: 8670966. DOI: 10.1155/2021/7861180.

Long-Term Outcome After Silicone Oil Removal in Eyes with Myopic Retinal Detachment Associated with Macular Hole.

Ghoraba H, Leila M, Shebl M, Abdelhafez M, Abdelfattah H Clin Ophthalmol. 2021; 15:1003-1011.

PMID: 33727783 PMC: 7953888. DOI: 10.2147/OPTH.S298565.

Ranibizumab Pretreatment in Vitrectomy with Internal Limiting Membrane Peeling on Diabetic Macular Edema in Severe Proliferative Diabetic Retinopathy.

Guan J, Cai N, Liu L, Zhao N, Liu N Diabetes Ther. 2020; 11(6):1397-1406.

PMID: 32356244 PMC: 7261291. DOI: 10.1007/s13300-020-00822-0.

Floating flap of internal limiting membrane in myopic macular hole surgery.

Yamashiro K, Kinoshita-Nakano E, Ota T, Jingami Y, Nakata I, Hayashi H Graefes Arch Clin Exp Ophthalmol. 2018; 256(4):693-698.

PMID: 29453727 DOI: 10.1007/s00417-018-3936-6.

References

Morita H, Ideta H, Ito K, Yonemoto J, Sasaki K, Tanaka S . Causative factors of retinal detachment in macular holes. Retina. 1991; 11(3):281-4. DOI: 10.1097/00006982-199111030-00002. View

Ohno-Matsui K . Proposed classification of posterior staphylomas based on analyses of eye shape by three-dimensional magnetic resonance imaging and wide-field fundus imaging. Ophthalmology. 2014; 121(9):1798-809. DOI: 10.1016/j.ophtha.2014.03.035. View

CURTIN B . The posterior staphyloma of pathologic myopia. Trans Am Ophthalmol Soc. 1977; 75:67-86. PMC: 1311542. View

Oshima Y, Ikuno Y, Motokura M, Nakae K, Tano Y . Complete epiretinal membrane separation in highly myopic eyes with retinal detachment resulting from a macular hole. Am J Ophthalmol. 1998; 126(5):669-76. DOI: 10.1016/s0002-9394(98)00180-9. View

Chen Y, Chen T, Yang K, Lee W, Kuo Y, Chao A . Treatment of retinal detachment resulting from posterior staphyloma-associated macular hole in highly myopic eyes. Retina. 2006; 26(1):25-31. DOI: 10.1097/00006982-200601000-00005. View

Sayanagi K, Ikuno Y, Tano Y . Tractional internal limiting membrane detachment in highly myopic eyes. Am J Ophthalmol. 2006; 142(5):850-2. DOI: 10.1016/j.ajo.2006.05.031. View

Lam R, Lai W, Cheung B, Yuen C, Wong T, Shanmugam M . Pars plana vitrectomy and perfluoropropane (C3F8) tamponade for retinal detachment due to myopic macular hole: a prognostic factor analysis. Am J Ophthalmol. 2006; 142(6):938-44. DOI: 10.1016/j.ajo.2006.07.056. View

Hayashi K, Ohno-Matsui K, Shimada N, Moriyama M, Kojima A, Hayashi W . Long-term pattern of progression of myopic maculopathy: a natural history study. Ophthalmology. 2010; 117(8):1595-611, 1611.e1-4. DOI: 10.1016/j.ophtha.2009.11.003. View

Nishimura A, Kimura M, Saito Y, Sugiyama K . Efficacy of primary silicone oil tamponade for the treatment of retinal detachment caused by macular hole in high myopia. Am J Ophthalmol. 2010; 151(1):148-55. DOI: 10.1016/j.ajo.2010.07.023. View

10.

Nadal J, Verdaguer P, Canut M . Treatment of retinal detachment secondary to macular hole in high myopia: vitrectomy with dissection of the inner limiting membrane to the edge of the staphyloma and long-term tamponade. Retina. 2012; 32(8):1525-30. DOI: 10.1097/IAE.0b013e3182411cb8. View

11.

Ortisi E, Avitabile T, Bonfiglio V . Surgical management of retinal detachment because of macular hole in highly myopic eyes. Retina. 2012; 32(9):1704-18. DOI: 10.1097/IAE.0b013e31826b671c. View

12.

Xie A, Lei J . Pars plana vitrectomy and silicone oil tamponade as a primary treatment for retinal detachment caused by macular holes in highly myopic eyes: a risk-factor analysis. Curr Eye Res. 2012; 38(1):108-13. DOI: 10.3109/02713683.2012.722742. View

13.

Mancino R, Ciuffoletti E, Martucci A, Aiello F, Cedrone C, Cerulli L . Anatomical and functional results of macular hole retinal detachment surgery in patients with high myopia and posterior staphyloma treated with perfluoropropane gas or silicone oil. Retina. 2012; 33(3):586-92. DOI: 10.1097/IAE.0b013e3182670fd7. View

14.

Alkabes M, Padilla L, Salinas C, Nucci P, Vitale L, Pichi F . Assessment of OCT measurements as prognostic factors in myopic macular hole surgery without foveoschisis. Graefes Arch Clin Exp Ophthalmol. 2013; 251(11):2521-7. DOI: 10.1007/s00417-013-2347-y. View

15.

Alkabes M, Pichi F, Nucci P, Massaro D, Medeiros M, Corcostegui B . Anatomical and visual outcomes in high myopic macular hole (HM-MH) without retinal detachment: a review. Graefes Arch Clin Exp Ophthalmol. 2014; 252(2):191-9. DOI: 10.1007/s00417-013-2555-5. View

16.

Chuang L, Chen Y, Wang N, Yeung L, Chen K, Hwang Y . Macular hole repair by vitrectomy and internal limiting membrane peeling in highly myopic eyes. Retina. 2014; 34(10):2021-7. DOI: 10.1097/IAE.0000000000000183. View

17.

Alkabes M, Bures-Jelstrup A, Salinas C, Medeiros M, Rios J, Corcostegui B . Macular buckling for previously untreated and recurrent retinal detachment due to high myopic macular hole: a 12-month comparative study. Graefes Arch Clin Exp Ophthalmol. 2013; 252(4):571-81. DOI: 10.1007/s00417-013-2497-y. View

18.

Shalchi Z, Mahroo O, Shunmugam M, Mohamed M, Sullivan P, Williamson T . Spectral domain optical coherence tomography findings in long-term silicone oil-related visual loss. Retina. 2014; 35(3):555-63. DOI: 10.1097/IAE.0000000000000325. View

19.

Akiba J, Konno S, Yoshida A . Retinal detachment associated with a macular hole in severely myopic eyes. Am J Ophthalmol. 1999; 128(5):654-5. DOI: 10.1016/s0002-9394(99)00240-8. View

20.

Kadonosono K, Yazama F, Itoh N, Uchio E, Nakamura S, Akura J . Treatment of retinal detachment resulting from myopic macular hole with internal limiting membrane removal. Am J Ophthalmol. 2001; 131(2):203-7. DOI: 10.1016/s0002-9394(00)00728-5. View