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Results of high-density silicone oil as a tamponade agent in macular hole retinal detachment in patients with high myopia
  1. Benson T O Cheung (febb12{at}hotmail.com),
  2. Timothy Y Y Lai (tyylai{at}cuhk.edu.hk),
  3. Can Y F Yuen,
  4. Wico W K Lai,
  5. Chi-Wai Tsang,
  6. Dennis S C Lam
  1. The Chinese University of Hong Kong, Hong Kong
  2. The Chinese University of Hong Kong, Hong Kong
  3. The Chinese University of Hong Kong, Hong Kong
  4. The Chinese University of Hong Kong, Hong Kong
  5. The Chinese University of Hong Kong, Hong Kong
  6. The Chinese University of Hong Kong, Hong Kong

    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.

    • Macular Hole
    • Retinal Detachment
    • Silicone oil tamponade
    • Vitrectomy

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