Surgical treatment of retinal detachment owing to macular hole

Seminars in Ophthalmology
T J Wolfensberger, M Gonvers

Abstract

Retinal detachments owing to macular hole have a low prevalence and occur predominantly in myopic eyes. The choice of surgical technique is primarily based on the axial length of the globe and on the presence or absence of a posterior staphyloma and/or chorioretinal degenerations. Whereas patients with low myopia and no posterior staphyloma are best treated with primary pars plana vitrectomy and air tamponade, patients with marked myopia and large posterior staphylomas should be managed by combining a pars plana vitrectomy with laser photocoagulation of the macular hole rim under perfluorocarbon liquids and a temporary silicone oil tamponade. For the intermediate myopias the surgical technique has to be decided from patient to patient.

References

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Citations

Jan 8, 2005·Korean Journal of Ophthalmology : KJO·Heeyoon ChoSe Woong Kang
Dec 14, 2011·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·D Mitry, H Zambarakji
Aug 4, 2011·Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift für Augenheilkunde·Theodor StapplerHeinrich Heimann
Nov 11, 2016·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Yoshimasa AndoMakoto Inoue
Nov 14, 2002·American Journal of Ophthalmology·Yasuo Tano

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