[Study of surgical procedures for retinal detachment with macular hole].
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.
Hirano
Aya
A
Second Department of Ophthalmology, Toho University School of Medicine, Tokyo, Japan. aya917@bc5.so-net.ne.jp
Ishida
Masahiro
M
Chihara
Hidemi
H
Suzuki
Takehiko
T
Nishiyama
Koichi
K
Takeuchi
Shinobu
S
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