title: [Epiretinal membranous tissue in retinal detachment due to macular holes in highly myopic eyes].
abstract: OBJECTIVE
  To determine the frequency of occurrence of epiretinal membranous tissue in retinal detachment due to macular hole and to evaluate the efficacy of vitreous surgery including removal of the membrane.
  
  
  METHODS
  Noncomparative case series.
  
  
  METHODS
  Eighteen highly myopic eyes with retinal detachment due to macular holes.
  
  
  RESULTS
  Epiretinal membranous tissue was removed from 7 eyes (39%) and retinal reattachment was obtained in 14 eyes (78%) after the initial vitreous surgery. Of 4 eyes that required reoperation, 2 eyes achieved reattachment after a long term of internal tamponade. Histological examination of an epiretinal membrane from one case revealed that it was composed of glial cells, connective tissue, and fragments of inner limiting membrane. An intraoperative use of autologous serum as a tissue adhesive for macular holes had no effect on surgical success.
  
  
  CONCLUSIONS
  The first therapeutic choice for this disease should be vitreous surgery with removal of the epiretinal membrane when practical, though the membrane can not always be identified in every case.
authors.affiliation: Department of Ophthalmology, Hirosaki University School of Medicine, Japan.
authors.forename: H
authors.initials: H
authors.lastname: Matsuhashi
authors.forename: T
authors.initials: T
authors.lastname: Sakuraba
authors.forename: Y
authors.initials: Y
authors.lastname: Suzuki
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D008875:Middle Aged; D009216:Myopia / Q000150:complications*; D012163:Retinal Detachment / Q000209:etiology* / Q000473:pathology / Q000601:surgery*; D012167:Retinal Perforations / Q000150:complications* / Q000473:pathology