Combination of internal limiting membrane peeling and endophotocoagulation for retinal detachment related to high myopia in patients with macular hole.

摘要

BACKGROUND AND OBJECTIVE:To evaluate the anatomic and visual outcomes of undergoing combined internal limiting membrane peeling and endophotocoagulation in retinal detachment related to high myopia in patients with macular hole. PATIENTS AND METHODS:Fifty-two eyes of 52 consecutive patients with macular hole and retinal detachment related to high myopia were recruited into the study. The combination treatment group underwent vitrectomy and perfluoropropane gas injection with the assistance of indocyanine green internal limiting membrane peeling and additional endophotocoagulation 2 weeks postoperatively. The control group only underwent vitrectomy and perfluoropropane gas injection and was matched to the combination treatment group according to the refractive errors and the size of macular hole. RESULTS:The primary macular hole closure rate was significantly higher in the combination treatment group (96.2%) than in the control group (57.7%) (P < .05). Six months postoperatively, a best-corrected visual acuity improvement of 2 or more lines was found in more eyes in the combination treatment group (100%) than in the control group (53.8%) (P > .05). CONCLUSION:Combined internal limiting membrane peeling and endophotocoagulation for retinal detachment related to high myopia in patients with macular hole has a promising anatomic closure rate and visual acuity and may be a better choice for retinal detachment in this group.