Full-thickness macular Hole associated with macular detachment is a one of the maculopathies of high myopia. There is controversy in the primary treatment for this situation. This study will compare the effects of macular buckling versus vitrectomy in a cohort of highly myopic eyes with this situation.
A randomized, open label, single center study comparing the efficacy of macular muckle + gas injection versus internal limiting membrane peeling + gas tamponade on full-thickness macular hole associated with macular detachment in eyes with high myopia.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
50
Surgical procedures of macular buckling
Surgical procedures of small gauge vitrectomy
Drainage of aqueous fluid (0.1-0.2 ml) through limbal paracentesis
Zhongshan Ophthalmic Center, Sun Yat-sen University
Guangzhou, Guangdong, China
Retinal re-attachment rate
Successful rate of reattachment of macular retina after surgery
Time frame: 1 month
Macular hole status
Closure rate of macular hole after surgery on optical coherence tomography
Time frame: 3 month
Post-operative best corrected visual acuity
Best corrected visual acuity of the eyes after surgery
Time frame: 3 month
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Inject gas ( C3F8 100%, 0.2ml-0.3ml) into vitreous cavity through pars plana.
Peeling internal limiting membrane with forceps
Filling the vitreous cavity with gas (C3F8, 14%)