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Posterior scleral reinforcement using genipin-cross-linked sclera for macular hole retinal detachment in highly myopic eyes
  1. Shuang-Qian Zhu,
  2. An-Peng Pan,
  3. Lin-Yan Zheng,
  4. Yue Wu,
  5. An-Quan Xue
  1. High Myopia Department, The Eye Hospital of Wenzhou Medical University, Wenzhou, China
  1. Correspondence to Dr An-Quan Xue, Refractive Surgery Center, The Eye Hospital of Wenzhou Medical University, Wenzhou 325000, China; xueanquandoctor{at}163.com

Abstract

Background/aims To investigate the surgical outcomes of posterior scleral reinforcement (PSR) using genipin-cross-linked sclera to treat macular hole retinal detachment (MHRD) in highly myopic eyes.

Methods Nineteen patients with high myopia (19 eyes) with MHRD were treated sequentially with genipin-cross-linked PSR and were followed at least for 1 year after the surgery. The best corrected visual acuity (BCVA), axial length (AL), optical coherence tomography (OCT) outcomes and the complications were evaluated.

Results Macular hole was closed in 73.7% of the eyes, foveal reattachment rate was 100%. The mean logMAR BCVA improved from 1.27±0.55 preoperatively to 0.88±0.55 postoperatively. The preoperative AL (29.88±1.97 mm) was decreased (27.73±1.84 mm) after the operation (p<0.001).

Conclusions For at least a 1-year period of follow-up, PSR with genipin-cross-linked sclera should be considered as a preferred surgical approach to treat MHRD in highly myopic eyes, especially when foveal retinoschisis is also documented.

  • macula
  • retina
  • treatment surgery

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Footnotes

  • Contributors SQZ conceived the idea for the paper and wrote the manuscript. APP, LYZ and YW collected and analysed the data, and performed a literature search. AQX conceived the idea for the paper and critically revised the manuscript.

  • Funding This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Ethics approval The study was approved by the Ethics Committee of the Eye Hospital of Wenzhou Medical University.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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