Outcome of vitrectomy with adjunct use of indocyanine green for macular hole retinal detachment in high myopic eyes

摘要

We performed vitrectomy on 8 eyes with macular hole retinal detachment and high myopia. Following removal of posterior vitreous cortex, we stained the posterior retina with indocyanine green (ICG). This procedure facilitated identification of remnant vitreous cortex and its removal. Removal of internal limiting membrane (ILM) around the macular hole was performed to decrease the tangential traction to the macular hole. After follow-up for 6 months after surgery, the retina became reattached in 7 eyes. The macular hole became closed or ophthalmoscopically indistinct in these eyes. Adjunct use of ICG contributed to a better retinal reattachment by facilitating identification of ILM and residual viteous cortex during surgery.