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Photocoagulation aids macular hole surgery in high myopes

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GUANGZHOU, China — Vitreous surgery in conjunction with laser photocoagulation can help improve the surgical success rate for highly myopic retinal detachment resulting from a macular hole, researchers here found.

Lin Lu, MD, and colleagues studied 65 eyes of 62 highly myopic patients with retinal detachment from macular holes who underwent vitreous surgery. The patients were split into 3 groups: gas tamponade in conjunction with laser photocoagulation (46 eyes), gas tamponade only in 12 eyes and silicone oil tamponade only in seven eyes.

Primary retinal reattachment was achieved in 43 eyes in the group that received laser treatment, in seven eyes in the gas-only group and in four eyes in the silicone-only group. The macular hole was completely closed in 18 eyes in the laser group and in one eye in the gas group.

The study is published in the August issue of Clinical & Experimental Ophthalmology.