Gas tamponade and macular grid laser photocoagulation in the management of recurrent retinal detachment.
OBJECTIVE
To evaluate the efficacy of intraocular gas tamponade and macular grid laser photocoagulation to manage recurrent macular hole retinal detachment after an initially successful reattachment by gas tamponade in highly myopic eyes.


METHODS
Five patients with high myopia and macular hole retinal detachment were treated by gas tamponade at the initial operation. Gas tamponade and macular grid laser photocoagulation were performed to treat recurrent retinal detachment at the second surgery. Demographic information, anatomic reattachment of the retina, and final visual acuity were studied.


RESULTS
Final successful retinal reattachment at the end of follow-up was obtained in all five eyes. Improvement of postoperative visual acuity with respect to preoperative visual acuity was observed in all patients.


CONCLUSIONS
Intraocular gas tamponade and grid laser photocoagulation in the macula for the management of recurrent macular hole retinal detachment provides good long-term anatomic success and acceptable functional results.
Department of Ophthalmology, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan.
Muh-Shy
MS
Chen
Tzyy-Chang
TC
Ho
Ching-Chung
CC
Chang
Kwan-Rong
KR
Liu
Ping-Kang
PK
Hou
D000368:Aged; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D017075:Laser Coagulation / Q000379:methods*; D008266:Macula Lutea; D008297:Male; D008875:Middle Aged; D047728:Myopia, Degenerative / Q000150:complications; D012008:Recurrence; D012163:Retinal Detachment / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D013459:Sulfur Hexafluoride / Q000008:administration & dosage*; D016896:Treatment Outcome; D014792:Visual Acuity
D013459:Sulfur Hexafluoride