title: [Study of surgical procedures for retinal detachment with macular hole].
abstract: OBJECTIVE
  To evaluate the surgical outcome of retinal reattachment, the reattachment rate according to the range of detachment, and postoperative visual acuity for macular hole retinal detachment (MHRD).
  
  
  METHODS
  Sixty-eight eyes of 67 patients with MHRD were analyzed. The mean follow-up period was 54 months.
  
  
  RESULTS
  Retinal reattachment occurred in 42/68 eyes (62%) after initial surgery. The reattachment rates were 6/23 eyes (26%) in the gas tamponade group, 13/19 eyes (68%) in the vitrectomy group, 23/ 26 eyes (88%) in the group that underwent removal of internal limiting membrane as adjunct to vitrectomy (ILM) group. In the additional surgery, the reattachment rates were 5/9 eyes (56%) in the gas tamponade group, 13 eyes (100%) in the vitrectomy group, 1/2 eyes (50%) in the ILM group, and 6 eyes (100%) in the macular prombe buckling group. No significant differences were seen in the detachment extent-related reattachment rate within the same surgery and the postoperative visual acuity between the groups.
  
  
  CONCLUSIONS
  The results show that removal of ILM contributes to successful reattachment in the initial surgery, and that for non-reattachable eyes, macular buckling in the second surgery is the most reliable method.
authors.affiliation: Second Department of Ophthalmology, Toho University School of Medicine, Tokyo, Japan. aya917@bc5.so-net.ne.jp
authors.forename: Aya
authors.initials: A
authors.lastname: Hirano
authors.forename: Masahiro
authors.initials: M
authors.lastname: Ishida
authors.forename: Hidemi
authors.initials: H
authors.lastname: Chihara
authors.forename: Takehiko
authors.initials: T
authors.lastname: Suzuki
authors.forename: Koichi
authors.initials: K
authors.lastname: Nishiyama
authors.forename: Shinobu
authors.initials: S
authors.lastname: Takeuchi
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D012163:Retinal Detachment / Q000601:surgery*; D014792:Visual Acuity