Retinal Detachment
Conditions
Brief summary
Retinal detachment (RD) resulting from the macular hole (MH), also known as MH-induced RD (MHRD), most commonly occurs in eyes with high myopia and results in irreversible visual disorders. Although ILM peeling for MHRD reportedly achieves a high retinal reattachment rate that ranges from 70% to 100%, the MH closure rate is relatively low, ranging from 10% to 70%.
Interventions
PROCEDUREVitrectomy with ILM peeling
Vitrectomy with traditional internal limiting membrane (ILM) peeling technique is regarded as the gold standard treatment for MH; it works by completely relieving of the traction of the macula and increasing the flexibility of the retina
Sponsors
Al-Azhar University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
15 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* patients with high myopia (a spherical equivalent refractive error of at least -6.0 diopters (D) and an axial length of at least 26.5 mm). * Macular hole and only posterior retinal detachment
Exclusion criteria
* Other causes of RD * Patients with a history of trauma, choroidal neovascularization, coexistence with a peripheral retinal break or proliferative vitreoretinopathy * History of any vitreoretinal surgery prior to MHRD and less than 36 months of follow-up after the surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Closure of macular hole | 6 months post operative | It is a subjective outcome measured by Optical coherence tomography and by clinical slit lamb examination |
| BCVA | baseline | It is a measure of the visual acuity, which will be measured by LogMar |
Countries
Egypt
Outcome results
None listed