title: Pars plana vitrectomy and silicone oil tamponade as a primary treatment for retinal detachment caused by macular holes in highly myopic eyes: a risk-factor analysis.
abstract: OBJECTIVE
  To determine (i) the efficacy of silicone oil tamponade as a primary treatment for a retinal detachment (RD) resulting from a macular hole (MH) (MHRD) in highly myopic eyes, and (ii) identify variables associated with successful retinal re-attachment.
  
  
  METHODS
  We retrospectively reviewed 28 eyes of 26 high myopia MHRD patients in one hospital. All eyes had been treated with pars plana vitrectomy (PPV) and silicone oil tamponade (PPV/silicone oil tamponade). Binary logistic regression was used to determine the factor(s) influencing initial anatomical success.
  
  
  RESULTS
  The initial anatomical success rate was 75% (21 of 28 eyes); after silicone oil removal, the anatomical success rate was 96.4% (27 of 28 eyes). MH diameter was the only variable associated with initial anatomical success.
  
  
  CONCLUSIONS
  PPV/silicone oil tamponade is a practical choice for treatment of MHRD in high myopia. While RDs occasionally re-occur after silicone oil treatment, these events are limited and can be managed with simple measures. A large MH is a risk factor for recurrent RD.
authors.affiliation: Eye Department of the 1st Affiliated Hospital of the Medical College of Xi'an Jiaotong University, Xi'an, Shannxi, China.
authors.forename: Anming
authors.initials: A
authors.lastname: Xie
authors.forename: Jianqin
authors.initials: J
authors.lastname: Lei
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007267:Injections; D008266:Macula Lutea / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D012163:Retinal Detachment / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D012167:Retinal Perforations / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D012189:Retrospective Studies; D018570:Risk Assessment / Q000379:methods*; D012307:Risk Factors; D012827:Silicone Oils / Q000008:administration & dosage*; D041623:Tomography, Optical Coherence; D014792:Visual Acuity; D014821:Vitrectomy / Q000379:methods*
chemical_list: D012827:Silicone Oils