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Retina Detachment Associated with Macular Hole in High Myopia

  Channels: Retina | Posted 11/28/2012

Shlomit Schaal, MD, PhD; Yoreh Barak, MD; Maya Bitar, MD; and Lana Rifkin, MD; present the repair of a macular hole causing a macular retinal detachment using a sutureless 25G vitrectomy technique. A 43-year-old Caucasian female, with high myopia and a posterior staphyloma, presented with a macular hole and a retinal detachment extending to the temporal arcades. 25G trocars were inserted in a beveled manner. 25G vitrectomy was performed with 360 degree scleral depression. Intra-vitreal preservative free triamcinolone acetonide was injected. Subretina fluid was drained through the macular hole followed by air-fluid exchange. Perfluorocarbon heavy liquid was injected to flatten the posterior pole, and thereafter a posterior retinotomy was performed to drain residual subretinal fluid followed by 360 degree endolaser photocoagulation. At the end of the procedure, the retina was completely flat and the eye was filled with 25% SF6 gas.

Laser photocoagulation • Macular Hole • Retina • Retinal detachment, RD