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Surgical management and treatment outcomes of myopic macular hole retinal detachment
Author(s) -
ZAMBARAKJI H
Publication year - 2014
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2014.4215.x
Subject(s) - macular hole , vitrectomy , medicine , retinal detachment , ophthalmology , visual acuity , retinal , optometry , maculopathy , retinopathy , diabetes mellitus , endocrinology
Pathological myopia (PM) complicated by macular hole retinal detachment (MHRD) may lend itself to surgical correction, however severe axial elongation of the globe, the presence of a posterior staphyloma and atrophy of the RPE and choroid make these cases challenging. Whilst vitrectomy has been the mainstay of treatment, macular buckling (MB) was also developed in order to treat the posterior staphyloma. Macular hole closure rates using OCT monitoring have been reportedly low at 10‐72% and retinal reattachment rates have varied from 40‐93%. The reports of surgical outcomes of MB for MHRD are limited, but reported retinal reattachment rates are as high as 93% after primary surgery and 100% after secondary surgery. Surgical and visual outcomes appear better than those seen with PPV surgery but visual acuity improvements were modest in a long term series with a mean log MAR improvement of 1.80 to 1.00. We carried out a survey of the British and Eire Association of Vitreoretinal Surgeons (BEAVRS) to research the UK practice patterns for the management of MHRD secondary to PM. Anatomical and visual outcomes showed variable success rates. A review of the current literature and results of the BEAVRS will be presented.