Results of high-density silicone oil as a tamponade agent in macular hole retinal detachment in patients with high myopia
- Benson T O Cheung (febb12{at}hotmail.com),
- Timothy Y Y Lai (tyylai{at}cuhk.edu.hk),
- Can Y F Yuen,
- Wico W K Lai,
- Chi-Wai Tsang,
- Dennis S C Lam
- The Chinese University of Hong Kong, Hong Kong
- The Chinese University of Hong Kong, Hong Kong
- The Chinese University of Hong Kong, Hong Kong
- The Chinese University of Hong Kong, Hong Kong
- The Chinese University of Hong Kong, Hong Kong
- The Chinese University of Hong Kong, Hong Kong
- Published Online First 17 January 2007
Abstract
Background: To evaluate the use of high-density silicone oil (HDSO) as a tamponade agent for retinal detachment secondary to myopic macular hole.
Methods: Twelve eyes of 12 patients with macular hole retinal detachment underwent pars plana vitrectomy, internal limiting membrane peeling and HDSO tamponade. No posturing was required postoperatively and HDSO was removed 3-4 months later. Outcome measures included macular hole closure and retinal attachment rates, best- corrected visual acuity (BCVA), and intraoperative and postoperative complications.
Results: The mean age of the patients was 67.8 years and the mean spherical equivalent refractive error was -13.4 diopters. After HDSO removal, 10 (83%) eyes had macular hole closure with retina reattachment without any tamponade. One eye had retinal reattachment after reoperation and the other refused further surgery. At the last follow-up, the median BCVA improved from 20/800 to 20/600 (P=0.046). Transient increase in intraocular pressure was observed in five (42%) eyes and one eye each developed mild oil emulsification and transient peripheral choroidal detachment. None of the eyes was found to have severe intraocular inflammation postoperatively.
Conclusions: HDSO appeared to be an effective tamponade agent for myopic macular hole retinal detachment. Further prospective controlled studies seem warranted.
