Τίτλος:
The macular buckling procedure in the treatment of retinal detachment in
highly myopic eyes with macular hole and posterior staphyloma - Mean
follow-up of 15 years
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Purpose: To evaluate the long-term anatomical and functional results of
the macular buckling procedure in myopic macular hole with retinal
detachment and posterior staphyloma.
Methods: Twenty-five consecutive highly myopic eyes with retinal
detachment, macular hole, and posterior staphyloma, which were operated
between February 1983 and April 1992, were retrospectively studied. The
last examination was in June 2002. Follow-up of the 25 patients ranged
from 10 years to 19 years (mean, 15 years). Macular buckling with an
episcleral sponge was the initial and only procedure. In all operated
eyes, anchoring of the sponge was away from the posterior pole.
Best-corrected visual acuity was evaluated before and after surgery. The
axial length of the eyeball was also measured by A-scan ultrasonography
before treatment.
Results: Twenty-two of 25 eyes were successfully treated with a single
procedure. In the remaining three eyes, retinal reattachment was
obtained after a second buckling operation, which was considered
necessary due to loosing of the sponge fixation sutures in two cases and
the location of the hole beside the buckle in one case. The mean overall
visual acuity was improved after treatment.
Conclusions: The macular buckling procedure with anchoring of the sponge
away from the posterior segment provided efficient scleral indentation
of long duration for closure of the macular hole and retinal
reattachment.
Συγγραφείς:
Theodossiadis, George P.
Theodossiadis, Panagiotis G.
Περιοδικό:
RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES
Εκδότης:
Lippincott, Williams & Wilkins
Λέξεις-κλειδιά:
high myopia; macular buckle; macular hole; posterior staphyloma; retinal
detachment
DOI:
10.1097/00006982-200504000-00006
