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Journal of Ophthalmology
Volume 2014, Article ID 434272, 5 pages
http://dx.doi.org/10.1155/2014/434272
Clinical Study

Silicone Oil Reinjection without Macular Buckling for Treatment of Recurrent Myopic Macular Hole Retinal Detachment after Silicone Oil Removal

1Tanta University, Tanta 31111, Egypt
2Maghrabi Eye Hospital-Tanta Branch, Tanta 31517, Egypt
3Department of Ophthalmology, Menoufia University, Shebin Elkom, Menoufia 32511, Egypt
4Alazhar University-Damietta Branch, Damietta 34519, Egypt

Received 28 November 2013; Revised 3 January 2014; Accepted 3 January 2014; Published 11 February 2014

Academic Editor: Mahesh S. Palanivelu

Copyright © 2014 Hammouda Hamdy Ghoraba et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose. To evaluate the efficacy of silicone oil (S.O) reinjection without macular buckling for treatment of recurrent myopic macular hole retinal detachment (MHRD) after silicone oil removal. Methods. A retrospective consecutive interventional study from medical reports on cases of myopic MHRD. Fifty-three eyes of 51 patients underwent silicone oil removal after successful repair of MHRD were reviewed. The main outcomes were the retinal status after silicone oil removal and management of recurrent cases. Results. The rate of recurrent RD (Re RD) after silicone oil removal was 11.3% (6 out of 53 eyes). One case refused any other interference. In the remaining 5 eyes, 4 eyes (80%) could be reattached by S.O re-injection and one eye (20%) developed Re RD after S.O re-injection. Range of followup after management of recurrence was 5–53 months (mean 18.7 months). Conclusions. This case series concluded that the risk factors for recurrent RD after silicone oil removal from cases of myopic MHRD were high myopia, open flat MH, and large posterior staphyloma. Revision of vitrectomy and S.O re-injection can reattach most of recurrent cases.