Summary
We report on17 consecutive cases of retinal detachment due to macular hole surgically treated by one of the authors (S.B) between the fall of1982 and 1985. Thestandard method used was pars plana vitrectomy and intraocular air tamponade. In cases of subsequent reaccumulation of subretinal fluid, the macular hole was cautiouslycoagulated. With repeated redetachment and as a last resort,silicone oil was injected into the vitreous cavity.
After a follow-up period ranging from 5 to 42 months,13 of the 17 eyes were cured; in 2 aphakic eyes treatment remained unsuccessful; in 2 eyes a small central detachment with some accumulation of subretinal fluid persisted but did not progress.
Vitrectomy and gas tamponade alone, without coagulation, constitute the safest and most sparing treatment of this type of retinal detachment. Unfortunately, approximately one half of these cases require subsequentadditional photocoagulation because of renewed accumulation of subretinal fluid. In about one fourth of macular hole retinal detachments, however, lasting reattachment is achieved only bysilicone oil tamponade following initial vitrectomy and air/gas tamponade.
Similar content being viewed by others
References
Binder S, Riss B: Advances in intraocular techniques in the treatment of retinal detachments arizing from holes of the posterior pole. Brit J of Ophthalmol 3: 147–149, 1983
Gonvers M, Machemer R: A new approach to treating retinal detachment with macular hole. Am J Ophthalmol 94: 468–472. 1982
Harris MJ, de Bustros S, Michels RG: Treatment of retinal detachments due to macular holes. Retina 3: 144–147, 1984
Kroll P, Busse H, Berg P, Clemens S: Intraokualare Therapie makulalochbedingter Netzhautveränderungen. Klin Mbl Augenheilk 187: 499–502, 1985
Laqua H: Die Behandlung der Ablatio mit Maculaforamen nach der Methode von Gonvers und Machemer. Klin Mbl Augenheilk 186: 13–17, 1985
Miyake Y: A simplified method of treating retinal detachment with macular hole. Am J Ophthalmol 2: 243–244, 1984
Tavakolian U, Heimann K, Lemmen KP: Zur Behandlung von Netzhautablösungen mit zentralen Foramina bei hoher Myopie. Fortschr Ophthalmol 82: 553–555, 1985
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Binder, S., Zügner, M. & Velikay, M. Does vitrectomy followed by intraocular gas tamponade offer sufficiently effective treatment of retinal detachment due to holes in the posterior pole. Int Ophthalmol 11, 25–30 (1987). https://doi.org/10.1007/BF02027894
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02027894