Silicone oil tamponade in eyes with posterior staphyloma and retinal detachment caused by macular hole.
OBJECTIVE
A retinal detachment caused by a macular hole in an eye with a posterior staphyloma presents a therapeutical challenge. Vitrectomy and silicone oil tamponade might be a therapeutic strategy in such eyes.


METHODS
We report on three eyes of three patients with retinal detachment caused by a macular hole in the presence of a posterior staphyloma, where a vitrectomy and a silicone oil filling was performed.


RESULTS
In all three eyes the retina could be reattached. After oil removal, the retina remained attached in all three eyes until the end of the follow-up period (mean 18.7 months). In all three eyes, visual acuity improved, no major complications were noted.


CONCLUSIONS
The use of silicone oil in eyes with retinal detachment caused by a macular hole in the presence of a posterior staphyloma presents a therapeutic option and we discuss this strategy as a primary treatment for these eyes.
Scholda
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Department of Ophthalmology, University of Vienna, Medical School, Allgemeines Krankenhaus, Austria. christoph.scholda@akh-wien.ac.at
Egger
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SF
D000368:Aged; D004108:Dilatation, Pathologic; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012163:Retinal Detachment / Q000209:etiology / Q000601:surgery*; D012167:Retinal Perforations / Q000150:complications*; D015422:Scleral Diseases / Q000209:etiology / Q000601:surgery*; D012827:Silicone Oils; D014792:Visual Acuity; D014821:Vitrectomy
D012827:Silicone Oils