title: Scleral buckling with macular plombe for eyes with myopic macular retinoschisis and retinal detachment without macular hole.
abstract: OBJECTIVE
  To determine the effectiveness of scleral buckling with a macular plombe in eyes with myopic macular retinoschisis and retinal detachment without a macular hole.
  
  
  METHODS
  A prospective, consecutive interventional case series.
  
  
  METHODS
  
  
  
  METHODS
  Clinical practice at university hospitals.
  
  
  METHODS
  Six eyes of five consecutive patients with myopic macular retinoschisis and retinal detachment without a macular hole. Intervention Procedure: Scleral buckling with a macular plombe.
  
  
  METHODS
  The best-corrected visual acuity (BCVA), ophthalmoscopic appearance of fundus, and optical coherence tomographic images were recorded preoperatively, and at two weeks, at one, three, and six months, and then every three months thereafter.
  
  
  RESULTS
  The mean retinal thickness was reduced significantly by the macular plombe (P < .05). The BCVA was improved by 2 lines or more in four eyes (66%), and remained within 2 lines of the preoperative BCVA in two eyes (34%). The complications were subretinal hemorrhage without choroidal neovascularization in one eye, and a progression of choroidal neovascularization with subretinal hemorrhage, which caused a transient visual impairment in one eye.
  
  
  CONCLUSIONS
  We recommend that macular scleral buckling with a macular plombe be considered for eyes with myopic macular retinoschisis and retinal detachment without a macular hole.
authors.affiliation: Department of Ophthalmology, Mitsui Memorial Hospital, Tokyo, Japan. tbaba-tmd@umin.ac.jp
authors.forename: Takayuki
authors.initials: T
authors.lastname: Baba
authors.forename: Sumiyoshi
authors.initials: S
authors.lastname: Tanaka
authors.forename: Akira
authors.initials: A
authors.lastname: Maesawa
authors.forename: Tohru
authors.initials: T
authors.lastname: Teramatsu
authors.forename: Yasuo
authors.initials: Y
authors.lastname: Noda
authors.forename: Shuichi
authors.initials: S
authors.lastname: Yamamoto
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D008875:Middle Aged; D047728:Myopia, Degenerative / Q000150:complications / Q000601:surgery*; D009887:Ophthalmoscopy; D011183:Postoperative Complications; D011446:Prospective Studies; D012163:Retinal Detachment / Q000209:etiology / Q000601:surgery*; D012167:Retinal Perforations / Q000150:complications*; D041441:Retinoschisis / Q000209:etiology / Q000601:surgery*; D012591:Scleral Buckling / Q000379:methods*; D041623:Tomography, Optical Coherence; D014792:Visual Acuity