Hot issues and progress in surgical treatment of macular hole in high myopia_Chinese Journal of Ocular Fundus Diseases

Authors：

Fan Wei , Yuan Rongdi ,  Hu Chunming

Department of Ophthalmology, The Second Affiliated Hospital of Army Medical University, Chongqing 400037, China;

Corresponding author：

Hu Chunming, Email: 3117662770@qq.com

Keywords：

Myopia, degenerative; Retinal perforations; Vitrectomy; Review

DOI：

10.3760/cma.j.cn511434-20201116-00552

Video：

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High myopia macular hole (MH) is a serious complication of high myopia. The main treatment method is surgery. Because of axial growth, posterior scleral staphyloma, choroidal atrophy and other factors, the operation is difficult, the anatomic reduction rate is low, and the visual prognosis is poor. How to improve the reduction rate of surgical dissection and the recovery of visual function is a hot topic. At present, the most popular surgeries include parsplanavitrectomy (PPV) and posterior scleral reinforcement (PSR). However, there are many controversies regarding the treatment of internal limiting membrane in PPV, the selection of vitreous gapfiller, the choice of reinforcement materials and reinforcement methods of PSR, and whether it is necessary to combine PPV and PSR, etc. In recent years, many new surgical methods or techniques have emerged, which significantly increase the success rate of MH.

Citation： Fan Wei, Yuan Rongdi, Hu Chunming. Hot issues and progress in surgical treatment of macular hole in high myopia. Chinese Journal of Ocular Fundus Diseases, 2021, 37(12): 979-984. doi: 10.3760/cma.j.cn511434-20201116-00552 Copy

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1. Ruiz-Medrano J, Montero JA, Flores-Moreno I, et al. Myopic maculopathy: current status and proposal for a new classification and grading system (ATN)[J]. Prog Retin Eye Res, 2019, 69: 80-115. DOI: 10.1016/j.preteyeres.2018.10.005.
2. Tanaka Y, Shimada N, Moriyama M, et al. Natural history of lamellar macular holes in highly myopic eyes[J]. Am J Ophthalmol, 2011, 152(1): 96-99. DOI: 10.1016/j.ajo.2011.01.021.
3. 宋宗明, 胡旭颋. 高度近视黄斑区玻璃体视网膜界面异常手术治疗中值得探讨的几个问题[J]. 中华眼底病杂志, 2013, 29(2): 121-125. DOI: 10.3760/cma.j.issn.1005-1015.2013.02.002.Song ZM, Hu XT. Disputes revolved about surgeries of macular vitreoretinal interface abnormalities in highly myopic eyes[J]. Chin J Ocul Fundus Dis, 2013, 29(2): 121-125. DOI: 10.3760/cma.j.issn.1005-1015.2013.02.002.
4. Gao X, Guo J, Meng X, et al. A meta-analysis of vitrectomy with or without internal limiting membrane peeling for macular hole retinal detachment in the highly myopic eyes[J]. BMC Ophthalmol, 2016, 16: 87. DOI: 10.1186/s12886-016-0266-5.
5. Chatziralli IP, Theodossiadis PG, Steel DHW. Internal limiting membrane peeling in macular hole surgery; why, when, and how?[J]. Retina, 2018, 38(5): 870-882. DOI: 10.1097/IAE.0000000000001959.
6. Liu J, Chen Y, Wang S, et al. Evaluating inner retinal dimples after inner limiting membrane removal using multimodal imaging of optical coherence tomography[J]. BMC Ophthalmol, 2018, 18(1): 155. DOI: 10.1186/s12886-018-0828-9.
7. Hong N, Huang BS, Tong JP. Primary silicone oil tamponade and internal limiting membrane peeling for retinal detachment due to macular hole in highly myopic eyes with chorioretinal atrophy[J]. BMC Ophthalmol, 2015, 15: 165. DOI: 10.1186/s12886-015-0154-4.
8. 刘哲丽, 孙鹏, 张含, 等. 视网膜内界膜剥离手术治疗高度近视黄斑裂孔视网膜脱离的疗效观察[J]. 中华眼底病杂志, 2009, 25(5): 337-340. DOI: 10.3760/cma.j.issn.1005-1015.2009.05.04.Liu ZL, Sun P, Zhang H, et al. Therapeutic effects of internal limiting membrane peeling on retinal detachment with macular hole in eyes with high myopia[J]. Chin J Ocul Fundus Dis, 2009, 25(5): 337-340. DOI: 10.3760/cma.j.issn.1005-1015.2009.05.04.
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