The development of surgery for macular hole with retinal detachment in high myopic eyes_Chinese Journal of Ocular Fundus Diseases

Authors：

QuYi ,  DongFangtian

Department of Ophthalmology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China;

Corresponding author：

DongFangtian, Email: d_fangtian@sina.com

Keywords：

Myopia,degenerative/surgery; Retinal detachment/surgery; Retinal perforations/surgery; Vitreoretinal surgery; Review

DOI：

10.3760/cma.j.issn.1005-1015.2016.05.030

Video：

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Abstract Full text Figures/Tables Video References Cited by

Treatment of macular hole associated retinal detachment in high myopia has progressively evolved over the years, including the scleral buckling, simple intravitreal gas injection, pars plana vitrectomy (PPV), PPV combined with internal limiting membrane (ILM) peeling or transplantation and so on. Simple vitreous gas injection is less traumatic and good for the patients with small holes and localized retinal detachment. PPV combined with ILM peeling can achieve better treatment effects for small holes with wide retinal detachment. But for large holes with wide retinal detachment, PPV combined with ILM transplantation is necessary to improve the macular holes closure rate. If the ILM has been peeled before, the lens capsule could be a nice substitute for ILM. The scleral surgery can solve the problem of posterior scleral staphyloma and effectively control the elongation of the axial length. However, there is still no one surgery could deal with all the problems of high myopia, we should consider all the circumstances like the size of the macular hole and the range of the retinal detachment to choose the best individualized therapy.

Citation： QuYi, DongFangtian. The development of surgery for macular hole with retinal detachment in high myopic eyes. Chinese Journal of Ocular Fundus Diseases, 2016, 32(5): 557-560. doi: 10.3760/cma.j.issn.1005-1015.2016.05.030 Copy

1.	徐琼, 赵明威,黎晓新.中国眼底病手术治疗的研究热点与挑战[J].中华眼底病杂志, 2015, 31(4):399-402. DOI:10.3760/cma.j.issn.1005-1015.2015.04.025. Xu Q,Zhao MW,Li XX. The hotspots and challenges of research for ocular fundus disease in China[J].Chin J Ocul Fundus Dis,2015, 31(4):399-402. DOI:10.3760/cma.j.issn.1005-1015.2015.04.025.
2.	Mitry D, Zambarakji H.Recent trends in the management of maculopathy secondary to pathological myopia[J].Graefe's Arch Clin Exp Ophthalmol,2012,250(1):3-13. DOI:10.1007/s00417-011-1889-0.
3.	Iwase A,Araie M,Tomidokoro A,et al.Prevalence and causes of low vision and blindness in a Japanese adult population:the Tajimi Study[J].Ophthalmology,2006,113(8):1354-1362.
4.	于文贞, 孙摇遥,李娟,等.玻璃体切割联合硅油填充与C₃F₈填充治疗高度近视黄斑裂孔视网膜脱离临床效果比较[J].中华实验眼科杂志,2012,30(11):1036-1039.DOI:10.3760/cma.j.issn.2095-0160.2012.11.018. Yu WZ,Sun YY,Li J,et al.An analysis of the efficacy of vitreous surgery combined with silicone oil or C₃F₈ tamponade for patient with macular hole retinal detachment in high myopic eyes[J].Chin J Exp Ophthalmol,2012,30(11):1036-1039.DOI:10.3760/cma.j.issn.2095-0160.2012.11.018.
5.	Gaucher D, Haouchine B, Tadayoni R,et al. Long-term follow-up of high myopic foveoschisis:natural course and surgical outcome[J]. Am J Ophthalmol,2007,143(3):455-462.
6.	Morita H, Ideta H, Ito K, et al.Causative factors of retinal detachment in macular holes[J].Retina,1991,11(3):281-284.
7.	Akiba J, Konno S, Yoshida A.Retinal detachment associated with a macular hole in severely myopic eyes[J].Am J Ophthalmol,1999,128(5):654-655.
8.	Takano M, Kishi S.Foveal retinoschisis and retinal detachment in severely myopic eyes with posterior staphyloma[J].Am J Ophthalmol,1999,128(4):472-476.
9.	Stirpe M, Michels RG. Retinal detachment in highly myopic eyes due to macular holes and epiretinal traction[J]. Retina,1990,10(2):113-114.
10.	Kobayashi H, Kishi S.Vitreous surgery for highly myopic eyes with foveal detachment and retinoschisis[J].Ophthalmology,2003,110(9):1702-1707.
11.	Sun CB, Liu Z, Xue AQ,et al.Natural evolution from macular retinoschisis to full-thickness macular hole in highly myopic eyes[J].Eye (Lond),2010,24(12):1787-1791. DOI:10.1038/eye.2010.123.
12.	Akiba J, Konno S, Yoshida A.Retinal detachment associated with a macular hole in severely myopic eyes[J].Am J Ophthalmol,1999,128(5):654-655.
13.	Japanese Association of Research in Myopic Fundus. Answered and unanswered questions regarding posterior segment complications in high myopia[J].Nippon Ganka Gakkai Zasshi, 2008,112(2):127-135.
14.	Theodossiadis GP, Theodossiadis PG.The macular buckling procedure in the treatment of retinal detachment in highly myopic eyes with macular hole and posterior staphyloma:mean follow-up of 15 years[J].Retina,2005,25(3):285-289.
15.	Ando F, Ohba N, Touura K, et al.Anatomical and visual outcomes after episcleral macular buckling compared with those after pars plana vitrectomy for retinal detachment caused by macular hole in highly myopic eyes[J].Retina,2007,27(1):37-44.
16.	Hirakala A,Hida T.Virectomy for myopic posterior retinoschisis or foveal detachment[J]. Jpn J Ophthalmol,2006,50(1):53-61.
17.	刘修铎, 吕嘉华,褚仁远.后巩膜加固术治疗高度近视眼的远期临床疗效观察[J].中华眼科杂志,2011,47(6):527-530.DOI:10.3760/cma.j.issn.0412-4081.2011.06.010. Liu XD,Lyu JH,Chu RY.Long-term studies on clinical therapeutic efficiency of posterior scleral reinforcement surgery[J].Chin J Ophthalmol,2011,47(6):527-530.DOI:10.3760/cma.j.issn.0412-4081.2011.06.010.
18.	Fujikawa M, Kawamura H, Kakinoki M, et al. Scleral imbrication combined with vitrectomy and gas tamponade for refractory macular hole retinal detachment associated with high myopia[J].Retina,2014,34(12):2451-2457. DOI:10.1097/IAE.0000000000000246.
19.	Miyake Y.A simplified method of treating retinal detachment with macular hole:long-term follow-up[J].Arch Ophthalmol,1986,104(8):1234-1236.
20.	Kuriyama S, Matsumura M, Harada T, et al. Surgical techniques and reattachment rates in retinal detachment due to macular hole[J].Arch Ophthalmol,1990,108(11):1559-1561.
21.	Menchini U, Scialdone A, Visconti C,et al. Pneumoretinopexy in the treatment of retinal detachment with macular hole[J]. Int Ophthalmol,1988,12(4):213-215.
22.	Gonvers M, Machemer R. A new approach to treating retinal detachment with macular hole[J].Am J Ophthalmol,1982,94(4):468-472.
23.	Kuo CN, Kuo HK, Kuo CJ,et al.Comparison of primary gas tamponade and a vitrectomy for repair of macular holes with retinal detachment in highly myopic eyes[J].Chang Gung Med J, 2003,26(8):578-585.
24.	Li X, Wang W, Tang S, et al.Gas injection versus vitrectomy with gas for treating retinal detachment owing to macular hole in high myopes[J].Ophthalmology,2009,116(6):1182-1187.DOI:10.1016/j.ophtha.2009.01.003.
25.	Chen YP,Chen TL, Yang KR,et al.Treatment of retinal detachment resulting from posterior staphyloma-associated macular hole in highly myopic eyes[J].Retina,2006,26(1):25-31.
26.	Caicedo A, Espinosa-Heidmann DG, Pina Y, et al. Blood-derived macrophages infiltrate the retina and activate Müller glial cells under experimental choroidal neovascularization[J].Exp Eye Res,2005,81(1):38-47.
27.	Winkler J, Hagelstein S, Rohde M, et al. Cellular and cytoskeletal dynamics within organ cultures of porcine neu-roretina[J].Exp Eye Res,2002,74(6):777-788.
28.	Martín F, Pastor JC, De La R Au'G a ER, et al. Proliferative vitreoretinopathy:cytologic findings in vitreous samples[J].Ophthalmic Res,2003,35(4):232-238.
29.	魏勇, 王润生,朱忠桥,等.内界膜剥除对适度高度近视黄斑裂孔性视网膜脱离视网膜复位及裂孔闭合的影响[J].中华眼底病杂志,2013,29(2):151-154.DOI:10.3760/cma.j.issn.1005-1015.2013.02.008. Wei Y,Wang RS,Zhu ZQ,et al.Efficacy of internal limiting membrane peeling for retinal reattachment and macular hole closure of moderate highly myopic macular hole retinal detachment[J]. Chin J Ocul Fundus Dis,2013,29(2):151-154.DOI:10.3760/cma.j.issn.1005-1015.2013.02.008.
30.	Yu J, Wang F, Cao H,et al.Combination of internal limiting membrane peeling and endophotocoagulation for retinal detachment related to high myopia in patients with macular hole[J].Ophthalmic Surg Lasers Imaging,2010,41(2):215-221.DOI:10.3928/15428877-20100303-10.
31.	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(9):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(9):337-340.DOI:10.3760/cma.j.issn.1005-1015.2009.05.04.
32.	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.
33.	吴鹏, 黄旭东,孙先勇,等.内界膜剥除及其联合内界膜移植治疗特发性黄斑裂孔的疗效对比观察[J].中华眼底病杂志,2014,30(3):253-256.DOI:10.3760/cma.j.issn.1005-1015.2014.03.007. Wu P,Huang XD,Sun XY,et al.Efficacy of internal limiting membrane peeling and transplantation for the treatment of idiopathic macular hole[J].Chin J Ocul Fundus Dis,2014,30(3):253-256.DOI:10.3760/cma.j.issn.1005-1015.2014.03.007.
34.	Michalewska Z, Michalewski J, Adelman RA, et al. Inverted internal limiting membrane flap technique for large macular holes[J].Ophthalmology,2010,117(10):2018-2025. DOI:10.1016/j.ophtha.2010.02.011.
35.	Michalewska Z, Michalewski J, Dulczewska-Cichecka K,et al. Inverted internal limiting membrane flap technique in macular hole associated with pathological myopia[J].Retina,2014, 34(4):664-669.DOI:10.1097/IAE.0000000000000042.
36.	Morizane Y, Shiraga F, Kimura S, et al. Autologous transplantation of the internal limiting membrane for refractory macular holes[J].Am J Ophthalmol,2014,157(4):861-869.DOI:10.1016/j.ajo.2013.12.028.
37.	Lai CC, Hwang YS, Liu L,et al.Blood-assisted internal limiting membrane peeling for macular hole repair[J].Ophthalmology,2009,116(8):1525-1530.DOI:10.1016/j.ophtha.2009.02.025.
38.	Lai CC, Chen YP, Wang NK,et al.Vitrectomy with internal limiting membrane repositioning and autologous blood for macular hole retinal detachment in highly myopic eyes[J].Ophthalmology,2015,122(9):1889-1898. DOI:10.1016/j.ophtha.2015.05.040.
39.	Chen SN, Yang CM.Inverted internal limiting membrane insertion for macular hole-associated retinal detachment in high myopia[J].Am J Ophthalmol,2016,162:99-106.DOI:10.1016/j.ajo.2015.11.013.
40.	Chen SN,Yang CM.Lens capsular flap transplantation in the management of refractory macular hole form multiple etiologies[J].Retina,2016,36(1):163-170. DOI:10.1097/IAE.0000000000000674.
41.	曲艺, 焦万秋,张潇,等.晶状体后囊膜移植治疗难治性黄斑裂孔一例[J]. 中华眼底病杂志, 2016, 32(2):201-202. DOI:10.3760/cma.j.issn.1005-1015.2016.02.021. Qiu Y,Jiao WQ,Zhang X,et al. Lens capsular transplantation in the management of an unclosed myopic macular hole[J].Chin J Ocul Fundus Dis,2016, 32(2):201-202. DOI:10.3760/cma.j.issn.1005-1015.2016.02.021.

1. 徐琼, 赵明威,黎晓新.中国眼底病手术治疗的研究热点与挑战[J].中华眼底病杂志, 2015, 31(4):399-402. DOI:10.3760/cma.j.issn.1005-1015.2015.04.025. Xu Q,Zhao MW,Li XX. The hotspots and challenges of research for ocular fundus disease in China[J].Chin J Ocul Fundus Dis,2015, 31(4):399-402. DOI:10.3760/cma.j.issn.1005-1015.2015.04.025.
2. Mitry D, Zambarakji H.Recent trends in the management of maculopathy secondary to pathological myopia[J].Graefe's Arch Clin Exp Ophthalmol,2012,250(1):3-13. DOI:10.1007/s00417-011-1889-0.
3. Iwase A,Araie M,Tomidokoro A,et al.Prevalence and causes of low vision and blindness in a Japanese adult population:the Tajimi Study[J].Ophthalmology,2006,113(8):1354-1362.
4. 于文贞, 孙摇遥,李娟,等.玻璃体切割联合硅油填充与C₃F₈填充治疗高度近视黄斑裂孔视网膜脱离临床效果比较[J].中华实验眼科杂志,2012,30(11):1036-1039.DOI:10.3760/cma.j.issn.2095-0160.2012.11.018. Yu WZ,Sun YY,Li J,et al.An analysis of the efficacy of vitreous surgery combined with silicone oil or C₃F₈ tamponade for patient with macular hole retinal detachment in high myopic eyes[J].Chin J Exp Ophthalmol,2012,30(11):1036-1039.DOI:10.3760/cma.j.issn.2095-0160.2012.11.018.
5. Gaucher D, Haouchine B, Tadayoni R,et al. Long-term follow-up of high myopic foveoschisis:natural course and surgical outcome[J]. Am J Ophthalmol,2007,143(3):455-462.
6. Morita H, Ideta H, Ito K, et al.Causative factors of retinal detachment in macular holes[J].Retina,1991,11(3):281-284.
7. Akiba J, Konno S, Yoshida A.Retinal detachment associated with a macular hole in severely myopic eyes[J].Am J Ophthalmol,1999,128(5):654-655.
8. Takano M, Kishi S.Foveal retinoschisis and retinal detachment in severely myopic eyes with posterior staphyloma[J].Am J Ophthalmol,1999,128(4):472-476.
9. Stirpe M, Michels RG. Retinal detachment in highly myopic eyes due to macular holes and epiretinal traction[J]. Retina,1990,10(2):113-114.
10. Kobayashi H, Kishi S.Vitreous surgery for highly myopic eyes with foveal detachment and retinoschisis[J].Ophthalmology,2003,110(9):1702-1707.
11. Sun CB, Liu Z, Xue AQ,et al.Natural evolution from macular retinoschisis to full-thickness macular hole in highly myopic eyes[J].Eye (Lond),2010,24(12):1787-1791. DOI:10.1038/eye.2010.123.
12. Akiba J, Konno S, Yoshida A.Retinal detachment associated with a macular hole in severely myopic eyes[J].Am J Ophthalmol,1999,128(5):654-655.
13. Japanese Association of Research in Myopic Fundus. Answered and unanswered questions regarding posterior segment complications in high myopia[J].Nippon Ganka Gakkai Zasshi, 2008,112(2):127-135.
14. Theodossiadis GP, Theodossiadis PG.The macular buckling procedure in the treatment of retinal detachment in highly myopic eyes with macular hole and posterior staphyloma:mean follow-up of 15 years[J].Retina,2005,25(3):285-289.
15. Ando F, Ohba N, Touura K, et al.Anatomical and visual outcomes after episcleral macular buckling compared with those after pars plana vitrectomy for retinal detachment caused by macular hole in highly myopic eyes[J].Retina,2007,27(1):37-44.
16. Hirakala A,Hida T.Virectomy for myopic posterior retinoschisis or foveal detachment[J]. Jpn J Ophthalmol,2006,50(1):53-61.
17. 刘修铎, 吕嘉华,褚仁远.后巩膜加固术治疗高度近视眼的远期临床疗效观察[J].中华眼科杂志,2011,47(6):527-530.DOI:10.3760/cma.j.issn.0412-4081.2011.06.010. Liu XD,Lyu JH,Chu RY.Long-term studies on clinical therapeutic efficiency of posterior scleral reinforcement surgery[J].Chin J Ophthalmol,2011,47(6):527-530.DOI:10.3760/cma.j.issn.0412-4081.2011.06.010.
18. Fujikawa M, Kawamura H, Kakinoki M, et al. Scleral imbrication combined with vitrectomy and gas tamponade for refractory macular hole retinal detachment associated with high myopia[J].Retina,2014,34(12):2451-2457. DOI:10.1097/IAE.0000000000000246.
19. Miyake Y.A simplified method of treating retinal detachment with macular hole:long-term follow-up[J].Arch Ophthalmol,1986,104(8):1234-1236.
20. Kuriyama S, Matsumura M, Harada T, et al. Surgical techniques and reattachment rates in retinal detachment due to macular hole[J].Arch Ophthalmol,1990,108(11):1559-1561.
21. Menchini U, Scialdone A, Visconti C,et al. Pneumoretinopexy in the treatment of retinal detachment with macular hole[J]. Int Ophthalmol,1988,12(4):213-215.
22. Gonvers M, Machemer R. A new approach to treating retinal detachment with macular hole[J].Am J Ophthalmol,1982,94(4):468-472.
23. Kuo CN, Kuo HK, Kuo CJ,et al.Comparison of primary gas tamponade and a vitrectomy for repair of macular holes with retinal detachment in highly myopic eyes[J].Chang Gung Med J, 2003,26(8):578-585.
24. Li X, Wang W, Tang S, et al.Gas injection versus vitrectomy with gas for treating retinal detachment owing to macular hole in high myopes[J].Ophthalmology,2009,116(6):1182-1187.DOI:10.1016/j.ophtha.2009.01.003.
25. Chen YP,Chen TL, Yang KR,et al.Treatment of retinal detachment resulting from posterior staphyloma-associated macular hole in highly myopic eyes[J].Retina,2006,26(1):25-31.
26. Caicedo A, Espinosa-Heidmann DG, Pina Y, et al. Blood-derived macrophages infiltrate the retina and activate Müller glial cells under experimental choroidal neovascularization[J].Exp Eye Res,2005,81(1):38-47.
27. Winkler J, Hagelstein S, Rohde M, et al. Cellular and cytoskeletal dynamics within organ cultures of porcine neu-roretina[J].Exp Eye Res,2002,74(6):777-788.
28. Martín F, Pastor JC, De La R Au'G a ER, et al. Proliferative vitreoretinopathy:cytologic findings in vitreous samples[J].Ophthalmic Res,2003,35(4):232-238.
29. 魏勇, 王润生,朱忠桥,等.内界膜剥除对适度高度近视黄斑裂孔性视网膜脱离视网膜复位及裂孔闭合的影响[J].中华眼底病杂志,2013,29(2):151-154.DOI:10.3760/cma.j.issn.1005-1015.2013.02.008. Wei Y,Wang RS,Zhu ZQ,et al.Efficacy of internal limiting membrane peeling for retinal reattachment and macular hole closure of moderate highly myopic macular hole retinal detachment[J]. Chin J Ocul Fundus Dis,2013,29(2):151-154.DOI:10.3760/cma.j.issn.1005-1015.2013.02.008.
30. Yu J, Wang F, Cao H,et al.Combination of internal limiting membrane peeling and endophotocoagulation for retinal detachment related to high myopia in patients with macular hole[J].Ophthalmic Surg Lasers Imaging,2010,41(2):215-221.DOI:10.3928/15428877-20100303-10.
31. 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(9):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(9):337-340.DOI:10.3760/cma.j.issn.1005-1015.2009.05.04.
32. 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.
33. 吴鹏, 黄旭东,孙先勇,等.内界膜剥除及其联合内界膜移植治疗特发性黄斑裂孔的疗效对比观察[J].中华眼底病杂志,2014,30(3):253-256.DOI:10.3760/cma.j.issn.1005-1015.2014.03.007. Wu P,Huang XD,Sun XY,et al.Efficacy of internal limiting membrane peeling and transplantation for the treatment of idiopathic macular hole[J].Chin J Ocul Fundus Dis,2014,30(3):253-256.DOI:10.3760/cma.j.issn.1005-1015.2014.03.007.
34. Michalewska Z, Michalewski J, Adelman RA, et al. Inverted internal limiting membrane flap technique for large macular holes[J].Ophthalmology,2010,117(10):2018-2025. DOI:10.1016/j.ophtha.2010.02.011.
35. Michalewska Z, Michalewski J, Dulczewska-Cichecka K,et al. Inverted internal limiting membrane flap technique in macular hole associated with pathological myopia[J].Retina,2014, 34(4):664-669.DOI:10.1097/IAE.0000000000000042.
36. Morizane Y, Shiraga F, Kimura S, et al. Autologous transplantation of the internal limiting membrane for refractory macular holes[J].Am J Ophthalmol,2014,157(4):861-869.DOI:10.1016/j.ajo.2013.12.028.
37. Lai CC, Hwang YS, Liu L,et al.Blood-assisted internal limiting membrane peeling for macular hole repair[J].Ophthalmology,2009,116(8):1525-1530.DOI:10.1016/j.ophtha.2009.02.025.
38. Lai CC, Chen YP, Wang NK,et al.Vitrectomy with internal limiting membrane repositioning and autologous blood for macular hole retinal detachment in highly myopic eyes[J].Ophthalmology,2015,122(9):1889-1898. DOI:10.1016/j.ophtha.2015.05.040.
39. Chen SN, Yang CM.Inverted internal limiting membrane insertion for macular hole-associated retinal detachment in high myopia[J].Am J Ophthalmol,2016,162:99-106.DOI:10.1016/j.ajo.2015.11.013.
40. Chen SN,Yang CM.Lens capsular flap transplantation in the management of refractory macular hole form multiple etiologies[J].Retina,2016,36(1):163-170. DOI:10.1097/IAE.0000000000000674.
41. 曲艺, 焦万秋,张潇,等.晶状体后囊膜移植治疗难治性黄斑裂孔一例[J]. 中华眼底病杂志, 2016, 32(2):201-202. DOI:10.3760/cma.j.issn.1005-1015.2016.02.021. Qiu Y,Jiao WQ,Zhang X,et al. Lens capsular transplantation in the management of an unclosed myopic macular hole[J].Chin J Ocul Fundus Dis,2016, 32(2):201-202. DOI:10.3760/cma.j.issn.1005-1015.2016.02.021.

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