urgical management of retinal detachment aociated with myopic macular hole: anatomic and functional tatu of the macula

Purpoe To evaluate the potoperative tatu of the macula after vitreou urgery with internal limiting membrane removal for macular hole related retinal detachment in patient with evere myopia. Deign Interventional cae erie. Method We propectively examined 10 eye with retinal detachment aociated with a myopic macular hole from 10 conecutive patient, and performed par plana vitrectomy with internal limiting membrane peeling. Macular buckling wa performed in one eye during the initial treatment and in three eye during ubequent operation. The main outcome meaure were the anatomic reattachment rate and the potoperative tatu of the macular hole. We examined the macular area pre- and potoperatively with lit-lamp biomicrocopy and with a canning laer ophthalmocope. Cro-ectional imaging of the macular area wa conducted with optical coherence tomography. Reult ucceful retinal reattachment wa achieved in even eye (70%) after the initial urgery and in three eye (30%) after additional procedure. Viual acuity remained unchanged in two eye (20%), and improved by two or more logarithmic unit of minimum angle of reolution (logMAR) meaurement in eight eye (80%). The macular hole wa anatomically cloed in only one eye (10%). Potoperative enlargement of the macular hole wa oberved in even eye. Concluion In highly myopic eye with macular hole related retinal detachment, cloure of the macular hole i difficult to attain depite the complete relief of tangential traction by internal limiting membrane peeling. Reult indicate the preence of a poible imbalance between the retina and the choroid–clera complex aociated with axial elongation and poterior taphyloma in highly myopic eye.