Vitrectomy combined with internal limiting membrane peeling and posterior scleral reinforcement for macular hole of degenerative myopia

Abstract

Objective To evaluate the efficacy of vitrectomy combined with internal limiting membrane peeling and posterior scleral reinforcement for the treatment of macular hole of degenerative myopia. Methods A retrospective case study. The clinical data of 53 eyes of 53 cases of degenerative myopia with macular hole were treated with vitrectomy combined with internal limiting membrane peeling and posterior scleral reinforcement From Feb. 2014 to Aug. 2016 in this hospital were analyzed. Results BCVA (Log MAR) was 0.78±0.23 before operation and 0.62±0.19 after operation (P=0.021). Preoperative axial length was (29.52±4.67) mm, and the postoperative length shortened to (27.91±3.87) mm (P=0.041). The preoperative mean refractive status was (-17.50±-3.65) D, and the postoperative status was decreased to (-14.20±-2.84) D (P=0.004). The closure rate of macular hole was 90.6% (48/53). No serious complication such as iatrogenic tear, intraocular hemorrhage or endophthalmitis occurred. Conclusion Vitrectomy combined with internal limiting membrane peeling and posterior scleral reinforcement is safe and effective in the treatment of macular hole of degenerative myopia. Key words: Myopia, degenerative; Hole, macular; Vitrectomy; Reinforcement, posterior scleral; Peeling, membrane, limiting, internal