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Outcomes of Macular Hole Surgery with Short-duration Positioning in Highly Myopic Eyes: A Case-control Study

Purpose: To evaluate the outcomes of macular hole (MH) surgery with 3 and 1 day postoperative positioning in highly myopic eyes and to compare these results with those from controls. Methods: The study design was a matched, case-control, retrospective chart review of consecutive eyes that underwent surgery for a MH between 2002 and 2010. Forty-seven eyes were included in the high myopic group and were matched for MH size and duration of...

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Modified Vitreo Retinal Instruments for Macular Surgery on Eyes with High Myopia

Advantages: To improve certain vitreo-retinal instruments to enhance the accesses to posterior pole and avoid complications during macular surgery in highly myopic eyes. Methods: Modified double bent aspiration 23-gauge cannula with 30.00 mm working part was used during pars plana vitrectomy in highly myopic eyes. The aspiration of residual PFCL or BSS with modified cannula was performed under visual control using different kinds of...

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Vitrectomy, A Preferable Method for Colobomatous Retinal Detachment Repair, Leads to Acceptable Anatomic Rather than Functional Outcomes

Alireza Ramezani, Mohammad H Dehghan, Ahmad Rostami, Hamid Ahmadieh, Morteza Entezari, Masoud Soheilian, Mohsen Azarmina, Siamak Moradian, Mehdi Yaseri (Tehran, Iran) Advantages: In the management of rhegmatogeneous retinal detachment (RD) accompanying chorioretinal coloboma, difficulty in locating the retinal breaks, their posterior location, and inability to create adequate chorioretinal adhesions around the coloboma by cryo or laser,...

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Treatment of Macular Detachment in High Myopia with Macular Buckle

Barbara Parolini, Grazia Pertile* (Verona, Italy) Advantages: Macular detachment in high myopia is a challenge for the surgeon. Various surgical approaches have been tried in the past years with frequent disappointment either for the rare success or for the difficult surgical strategy. Macular buckle, combined with the relieve of vitreoretinal traction through vitrectomy, may guarantee a higher anatomic success rate than the endobulbar...

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A Novel Episcleral Macular Buckling Technique for Recurrent Macular Hole Retinal Detachment in Highly Myopic Eyes (Preliminary Results)

Hassan Mortada (Cairo, Egypt) Advantages: Factors acting in the production of macular hole RD in highly myopic eyes may include traction exerted by partially detached posterior hyaloid, altered ILM, potent retinal arterioles and progression of posterior staphyloma. Vitrectomy techniques with peeling of posterior hyaloid and ILM and internal tamponade with long acting gas or silicone oil, can eliminate traction exerted by the first 3...

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Anatomic and Functional Outcomes of Pars Plana Vitrectomy for Rhegmatogenous Retinal Detachment in High Myopic Patients

Ozen Osmanbasoglu, Hülya Güngel, Sevil Karaman, Isýl Pasaoglu, Dilek Alp, Hakan Eren (Istanbul, Turkey) Advantages: To assess anatomic and functional outcomes of pars plana vitrectomy (PPV) for rhegmatogeneous retinal detachment (RD) in highly myopic patients. Methods: 21 patients’ data with high myopia that underwent PPV (twelve with 23 G, nine with 20 G) during May 2006-May 2010 were evaluated. Groups were defined according to the...

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