| Scleral resection technique combined with vitrectomy for a macular hole retinal detachment in highly myopic eyes. | |
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MedLine Citation:
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PMID: 16679789 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To evaluate scleral resection technique combined with vitrectomy for macular hole retinal detachment of highly myopic eyes. MATERIALS AND METHODS: Seventeencases (17 eyes) of macular hole retinal detachment in highly myopic eyes, in which the patient underwent vitrectomy combined with scleral resection technique formacular hole retinal detachment between January 1996 and December 2003 at Fukuoka University Chikushi Hospital, were studied. Following pars plana vitrectomy, as much as possible of the residual vitreous and/or epiretinal membrane was removed. A scleral resection was performed in 2 quadrants of the equatorial region of the temporal sclera. Finally, a fluid-air exchange with SF(6) gas injection was performed to achieve retinal attachment. Pre- and postoperative axial length of the eyeballs were measured by B-scan ultrasonography. RESULTS: All cases had the retina reattached at the initial surgery, and visual acuities were stabilized or improved after the surgery. The posterior staphyloma became obscure in 13 out of 17 eyes (76.8%). The macular hole closed in 14 of 17 eyes (82.4%) ophthalmoscopically. There were no cases in which retinal redetachment occurred during follow-up periods of more than 6 months. CONCLUSION: In cases of macular hole retinal detachment of a highly myopic eye, scleral resection technique combined with vitrectomy changed the shape of the eyeballs and allowed successful retinal reattachment at the initial surgery. |
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Authors:
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Toshihiro Kono; Yoshiko Takesue; Sousuke Shiga |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift für Augenheilkunde Volume: 220 ISSN: 0030-3755 ISO Abbreviation: Ophthalmologica Publication Date: 2006 |
Date Detail:
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Created Date: 2006-05-08 Completed Date: 2006-06-13 Revised Date: 2009-11-03 |
Medline Journal Info:
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Nlm Unique ID: 0054655 Medline TA: Ophthalmologica Country: Switzerland |
Other Details:
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Languages: eng Pagination: 159-63 Citation Subset: IM |
Affiliation:
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Department of Ophthalmology, Fukuoka University Chikushi Hospital, Chikushino, Japan. tkono@cis.fukuoka-u.ac.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Female Follow-Up Studies Humans Male Middle Aged Myopia / complications, surgery* Retinal Detachment / complications, surgery* Retinal Perforations / complications, surgery* Retrospective Studies Sclera / surgery* Treatment Outcome Visual Acuity Vitrectomy / methods* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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