Surgical techniques and reattachment rates in retinal detachment due to macular hole
S. Kuriyama, M. Matsumura, T. Harada, H. Ishigooka and N. Ogino
Department of Opthalmology, Kyoto University Faculty of Medicine, Japan.
We evaluated reattachment rates of the transvitreal and transscleral
techniques for treating 250 eyes with retinal detachment due to macular
hole. The initial success rate of the transvitreal approach was 56%
(53/94). There was no difference between the results of gas tamponade alone
and vitrectomy and gas tamponade. The initial success rate of the
transscleral approach was 83% (130/156). Macular diathermy and macular
buckling showed a higher reattachment rate than macular diathermy alone.
The final success rates were the same (95%), regardless of which approach
was selected as an initial technique. The patients whose initial
transvitreal reattachment failed and who underwent additional transvitreal
procedures (including macular laser photocoagulation) showed a success rate
of 93%. We believe that gas tamponade, which has possibility of better
visual prognosis, should be selected as an initial technique because the
final success rate was found to be the same regardless of the initial
surgical techniques.
