Macular hole surgery in high myopia

Ophthalmology. 2001 Feb;108(2):377-80. doi: 10.1016/s0161-6420(00)00532-7.


Purpose: To evaluate the anatomic and functional outcomes of macular hole surgery in high myopia and to determine whether surgery is beneficial in myopic eyes with macular holes.

Design: Retrospective noncomparative case series.

Participants: Twenty eyes of 18 highly myopic subjects who underwent pars plana vitrectomy for macular holes.

Methods: We analyzed demographics, preoperative, and postoperative characteristics in 20 eyes with macular holes with a mean of 10.4 months duration and myopia of 6 diopters or greater.

Main outcome measures: Macular hole closure rate and mean visual acuity preoperatively and postoperatively.

Results: Mean subject age was 56.4 years and preoperative visual acuity was 20/100+2. The macular hole was closed with one surgery in 60.0% of eyes and in 85.0% of eyes with one or more surgeries. The mean final acuity in all eyes was 20/63, and 40.0% improved greater than three Snellen lines at the final visit. The use of adjunctive agents seemed to have no effect on macular hole closure or visual acuity. A subgroup of three myopic eyes with retinal detachments surrounding the macular hole had successful closure with visual acuity improvement in two of three eyes.

Conclusions: Macular hole surgery can give substantial visual improvement in myopic eyes with macular holes, but the anatomic closure rates are lower than in eyes with idiopathic macular holes, and thus a higher reoperation rate is required.

MeSH terms

  • Female
  • Humans
  • Male
  • Middle Aged
  • Myopia / complications*
  • Myopia / physiopathology
  • Retinal Detachment / complications
  • Retinal Perforations / complications
  • Retinal Perforations / physiopathology
  • Retinal Perforations / surgery*
  • Retrospective Studies
  • Visual Acuity / physiology
  • Vitrectomy*