Abstract
Six cases of retinal detachment from the macular hole were treated by a procedure including closed vitrectomy, air-fluid exchange, and prone positioning of the patient. All of these detachments were of the idiopathic type. Five patients had myopia ranging from −13 to −20 diopters; one was emmetropic. The initial success rate can be considered 100%: in all six cases the retina remained attached during follow-up periods ranging from 4–10 months at least. One later recurrence was not caused by the macular hole. This new technique, which allows permanent releasing of vitreous traction and temporary closure of the hole, shows that idiopathic retinal detachment is caused by vitreous traction.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Gonvers M, Machemer R (1982) A new approach to treating a retinal detachment with macular hole. Am J Ophthalmol 94:468–472
Haut J, Van Effentere G, Ullern M, Chermet M (1980) Traitement chirurgical des décollements de rétine avec trou maculaire par la technique de la vitrectomie associée à l'injection de silicone liquide. J Fr Ophtalmol 3:115–118
Kloti R (1970) Experience acquise avec la pince en argent dans les décollements de la rétine provoqués par trou maculaire. Ophthalmologica 161:210–216
Margherio RR, Schepens CL (1972) Macular breaks. Management. Am J Ophthalmol 74: 233–240
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Vallat, M. Surgical treatment of retinal detachment from macular hole. Graefe's Arch Clin Exp Ophthalmol 224, 238–239 (1986). https://doi.org/10.1007/BF02143062
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02143062