title: [Retinal detachment due to macular hole: therapeutic problems].
abstract: To compare the success rate and the visual improvement of different surgical techniques for treating 21 retinal detachments due to macular hole in highly myopic eyes.
  
  
  METHODS
  Twelve patients were treated by gas tamponade alone, 5 patients underwent vitrectomy with gas tamponade, 4 patients underwent vitrectomy with epiretinal membrane pealing and gas or oil silicone tamponade.
  
  
  RESULTS
  Fifty eight % of patients were successfully treated after gas tamponade alone, and 75% after vitrectomy, epiretinal membrane pealing and gas or silicone oil tamponade. After retreatment in 7 patients, the final reattachment rate was 80%. Visual acuity was inchanged in 12 cases, improved to 1/20-1/10 in 8 case and reached 3/10 in 1 case.
  
  
  CONCLUSIONS
  A therapeutic scheme is suggested according to the type of retinal detachment, macular vitreoretinal traction and pigment epithelium and chorioretinal degeneration condition.
authors.forename: Leila
authors.initials: L
authors.lastname: el Matri
authors.forename: Olfa
authors.initials: O
authors.lastname: Charfi
authors.forename: Fatma
authors.initials: F
authors.lastname: Mghaieth
authors.forename: Rim
authors.initials: R
authors.lastname: Limaiem
authors.forename: Omar
authors.initials: O
authors.lastname: Beltaief
authors.forename: Fathi
authors.initials: F
authors.lastname: Triki
mesh_terms: D000328:Adult; D021721:Balloon Occlusion; D002404:Catheterization / Q000379:methods* / Q000592:standards; D005260:Female; D006801:Humans; D008028:Light Coagulation / Q000379:methods* / Q000592:standards; D008297:Male; D008875:Middle Aged; D009216:Myopia / Q000150:complications; D011379:Prognosis; D012086:Reoperation; D012163:Retinal Detachment / Q000145:classification / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D012167:Retinal Perforations / Q000150:complications*; D016896:Treatment Outcome; D014792:Visual Acuity; D014821:Vitrectomy / Q000379:methods* / Q000592:standards