Posterior scleral reinforcement using genipin-cross-linked sclera for macular hole retinal detachment in highly myopic eyes. Issue 12 (8th March 2018)

• Record Type: Journal Article
• Authors: Zhu, Shuang-Qian; Pan, An-Peng; Zheng, Lin-Yan; Wu, Yue; Xue, An-Quan
• Is Part Of: British journal of ophthalmology. Volume 102:Issue 12(2018)
• Page Start: 1701
• Page End: 1704
• Publication Date: 2018-03-08
• Subjects: macula -- retina -- treatment surgery; Ophthalmology -- Periodicals; 617.7
• DOI: 10.1136/bjophthalmol-2017-311340
• Languages: English
• ISSNs: 0007-1161

Abstract

Abstract : Background/aims: To investigate the surgical outcomes of posterior scleral reinforcement (PSR) using genipin-cross-linked sclera to treat macular hole retinal detachment (MHRD) in highly myopic eyes. Methods: Nineteen patients with high myopia (19 eyes) with MHRD were treated sequentially with genipin-cross-linked PSR and were followed at least for 1 year after the surgery. The best corrected visual acuity (BCVA), axial length (AL), optical coherence tomography (OCT) outcomes and the complications were evaluated. Results: Macular hole was closed in 73.7% of the eyes, foveal reattachment rate was 100%. The mean logMAR BCVA improved from 1.27±0.55 preoperatively to 0.88±0.55 postoperatively. The preoperative AL (29.88±1.97 mm) was decreased (27.73±1.84 mm) after the operation (p<0.001). Conclusions: For at least a 1-year period of follow-up, PSR with genipin-cross-linked sclera should be considered as a preferred surgical approach to treat MHRD in highly myopic eyes, especially when foveal retinoschisis is also documented.