Surgical management of traumatic macular hole-related retinal detachment.
OBJECTIVE
To investigate the clinical characteristics and surgical outcome of traumatic macular hole-related retinal detachment.


METHODS
Retrospective, interventional case series.


METHODS
Eight eyes of eight patients with traumatic macular hole-related retinal detachment underwent vitrectomy combined with gas tamponade, either initially or subsequently. Anatomic re-attachment of the retina, closure of traumatic macular hole, and visual outcome were measured.


RESULTS
Successful retinal re-attachment was achieved in seven eyes (87.5%), and the macular hole was successfully closed in all eyes (100%). Improved vision after the surgery was noted in five eyes (62.5%), whereas three eyes (37.5%) displayed no change.


CONCLUSIONS
Vitrectomy combined with gas tamponade appears to give an effective anatomic re-attachment rate for traumatic macular hole-related retinal detachment. The presence of peripheral retinal breaks, vitreous hemorrhage, or the extent of retinal detachment has no discernible significant influence on closure rate of macular hole and retinal re-attachment rate.
Chen
Yen-Po
YP
Department of Ophthalmology, Chang Gung Memorial Hospital, Kuei Shan, Taoyuan, Taiwan.
Chen
Tun-Lu
TL
Chao
An-Ning
AN
Wu
Wei-Chi
WC
Lai
Chi-Chun
CC
D000328:Adult; D000368:Aged; D002648:Child; D005131:Eye Injuries / Q000150:complications / Q000601:surgery*; D005260:Female; D005466:Fluorocarbons / Q000008:administration & dosage; D006801:Humans; D008297:Male; D012160:Retina / Q000293:injuries*; D012163:Retinal Detachment / Q000209:etiology / Q000601:surgery*; D012167:Retinal Perforations / Q000209:etiology / Q000601:surgery*; D012189:Retrospective Studies; D013459:Sulfur Hexafluoride / Q000008:administration & dosage; D014821:Vitrectomy; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000601:surgery*
D005466:Fluorocarbons; C042852:perflutren; D013459:Sulfur Hexafluoride