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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

THEODOSSIADIS, GEORGE P.*; THEODOSSIADIS, PANAGIOTIS G.

Original Articles

Purpose: To evaluate the long-term anatomical and functional results of the macular buckling procedure in myopic macular hole with retinal detachment and posterior staphyloma.

Methods: Twenty-five consecutive highly myopic eyes with retinal detachment, macular hole, and posterior staphyloma, which were operated between February 1983 and April 1992, were retrospectively studied. The last examination was in June 2002. Follow-up of the 25 patients ranged from 10 years to 19 years (mean, 15 years). Macular buckling with an episcleral sponge was the initial and only procedure. In all operated eyes, anchoring of the sponge was away from the posterior pole. Best-corrected visual acuity was evaluated before and after surgery. The axial length of the eyeball was also measured by A-scan ultrasonography before treatment.

Results: Twenty-two of 25 eyes were successfully treated with a single procedure. In the remaining three eyes, retinal reattachment was obtained after a second buckling operation, which was considered necessary due to loosing of the sponge fixation sutures in two cases and the location of the hole beside the buckle in one case. The mean overall visual acuity was improved after treatment.

Conclusions: The macular buckling procedure with anchoring of the sponge away from the posterior segment provided efficient scleral indentation of long duration for closure of the macular hole and retinal reattachment.

The purpose of this study was to evaluate the long-term anatomical and functional results of the macular buckling procedure in high myopic eyes with macular hole, retinal detachment, and posterior staphyloma.

From the *2nd Department of Ophthalmology, Henry Dunant Hospital, Athens, Greece; and the †Department of Ophthalmology, Athens University, Athens, Greece.

Presented in part at the 6th International Congress on Myopia and Related Diseases: A Clinical and Therapeutic Approach; Rome, September 24–27, 2003.

Reprints: George P. Theodossiadis, 13, Lykiou Street, 106 74 Athens, Greece; e-mail: george@hellasnet.gr

© The Ophthalmic Communications Society, Inc.