Objective  To compare the outcome of pars plana vitrectomy (PPV) with triamcinolone (TA) assistance and with or without internal limiting membrane (ILM) peeling for retinal reattachment and macular hole closure of moderate highly myopic macular hole retinal detachment (MHRD). Methods  Forty-three moderate highly myopic MHRD patients (43 eyes) with proliferative vitroretinopathy in class A or B, moderate long axial lengths ( ge;26 mm but ＜29 mm), mild retina pigment epithelium and chorioretinal atrophy, and posterior staphyloma (0 - 1 level and  le;2 mm) were enrolled in this study. The patients were divided into two groups according to surgical options: TA-assisted PPV with ILM peeling (group A, 24 eyes), TA-assisted PPV without ILM peeling (group B, 19 eyes). The anatomic reattachment of the retina, macular hole closure, and corrected visual acuity (CVA) were observed at one week, one, three, six and 12 months after surgery. Results  Twelve months after surgery, retinal reattachment was achieved in 22 eyes (91.67%) and 18 eyes (94.74%) in group A and B, respectively. The difference of retinal reattachment rate between two groups was not statistically significant (Fisher prime;s exact test, P=1.000). Macular hole closure was in 14 eyes (58.33%) and 11 eyes (57.89%) in group A and B, respectively. The difference of macular hole closure rate between two groups was not statistically significant ( chi;2=0.049，P=0.824). The differences of CVA between two groups was not statistically significant ( chi;2=0.001, P=0.977). Conclusion  ILM peeling may not be necessary in the surgery of TA-assisted PPV for moderate highly myopic MHRD.

Citation： WEI Yong,WANG Runsheng,ZHU Zhongqiao,et al.. Efficacy of internal limiting membrane peeling for retinal reattachment and macular hole closure of moderate highly myopic macular hole retinal detachment. Chinese Journal of Ocular Fundus Diseases, 2013, 29(2): 151-154. doi: Copy