Anatomical and Functional Results of Macular Hole Retinal Detachment Surgery in Patients With High Myopia and Posterior Staphyloma Treated With Perfluoropropane Gas or Silicone Oil

Mancino, Raffaele; Ciuffoletti, Elena; Martucci, Alessio; Aiello, Francesco; Cedrone, C; Cerulli, L; Nucci, Carlo Alberto

doi:10.1097/iae.0b013e3182670fd7

Cited by 37 publications

(28 citation statements)

References 27 publications

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“…Gas or Silicone Oil? According to Mancino et al [44], C 3 F 8 tamponade after vitrectomy and ILM peeling offers better results, both functional and anatomic, than silicone oil. Silicone oil offers some advantages, such as faster visual recovery and a long-acting tamponade effect, and is therefore preferred for patients who are unable to remain in a facedown position.…”

Section: Macular Hole Retinal Detachmentmentioning

confidence: 98%

Myopic Traction Maculopathy

Gómez-Resa

Burés-Jelstrup²,

Mateo³

2014

Microincision Vitrectomy Surgery

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Myopic traction maculopathy is a high myopia-related complication caused by several mechanisms with traction as a common pathway. Macular hole-related retinal detachment is considered to be the final stage of progressive foveoschisis. In this setting, release of all vitreous and epiretinal tractions is essential in order to achieve surgical success. Pars plana vitrectomy has proven useful in the treatment of myopic foveoschisis, with both good visual and anatomical results. However, the surgical technique for the treatment of macular hole-related retinal detachment is still a controversial issue: reoperations are common and the final visual prognosis is limited, especially in those cases with a pronounced posterior staphyloma. We must also bear in mind that a highly myopic eye has some characteristic traits that may complicate vitreoretinal surgery. In these cases, microincision vitrectomy surgery may offer some advantages compared to conventional vitrectomy.

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Section: Macular Hole Retinal Detachmentmentioning

confidence: 98%

Myopic Traction Maculopathy

Gómez-Resa

Burés-Jelstrup²,

Mateo³

2014

Microincision Vitrectomy Surgery

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“…Although silicone oil was introduced in the initial surgery to avoid the need for face-down positioning, 21 it is necessary to remove the silicone oil afterward, and longterm retinal toxicity cannot be ignored. 18,22,23 Increasing the successful rate of retinal attachment and hole closure and decreasing the duration that patients are in a prone position are the main goals of MHRD repair.…”

mentioning

confidence: 99%

Vitrectomy with Internal Limiting Membrane Repositioning and Autologous Blood for Macular Hole Retinal Detachment in Highly Myopic Eyes

et al. 2015

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“…Since then, silicone oil (SO) has been widely used in the management of different vitreoretinal conditions, especially in patients who are not candidates to receive gas endotamponade, including complicated RD associated with proliferative vitreoretinopathy (PVR), giant retinal tears, proliferative diabetic retinopathy (PDR), trauma, macular-hole surgery (MH), and simple primary rhegmatogenous RD (RRD) [2][3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Incidence and Risk Factors of Ocular Hypertension following Pars Plana Vitrectomy and Silicone Oil Injection

et al. 2018

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Purpose: To evaluate the risk factors for elevated intraocular pressure (IOP) after pars plana vitrectomy (PPV) with silicone oil injection (SOI). Procedures: This prospective interventional study included 254 consecutive eyes receiving PPV with SOI. Results: Elevated IOP developed in 48% of the eyes postoperatively. The onset of IOP elevation was early (≤1 week) in 61.5% of the eyes, intermediate (1–6 weeks) in 28.7%, and late (> 6 weeks) in 9.8%. The incidence of IOP elevation was higher with primary uncomplicated rhegmatogenous retinal detachment than with tractional detachment (p = 0.01). Pseudophakia, high myopia, and high preoperative IOP were found to have higher incidences of ocular hypertension, whereas diabetic patients had a lower incidence. Conclusion: IOP elevation is a common complication following silicone oil (SO) tamponade. Risk factors for ocular hypertension development are pseudophakia, high myopia, high preoperative IOP, and low-viscosity SO.

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Anatomical and Functional Results of Macular Hole Retinal Detachment Surgery in Patients With High Myopia and Posterior Staphyloma Treated With Perfluoropropane Gas or Silicone Oil

Abstract: C3F8 and internal limiting membrane peeling could represent the most effective strategy in highly myopic patients with macular hole retinal detachment. Other tamponade agents must be investigated.

Cited by 37 publications

References 27 publications

Myopic Traction Maculopathy

Myopic Traction Maculopathy

Vitrectomy with Internal Limiting Membrane Repositioning and Autologous Blood for Macular Hole Retinal Detachment in Highly Myopic Eyes

Incidence and Risk Factors of Ocular Hypertension following Pars Plana Vitrectomy and Silicone Oil Injection

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