ArticleFrontiers in medicine2025
The impact of preoperative choroidal detachment on short-term surgical outcomes in highly myopic macular hole retinal detachment.
Article in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Purpose: To evaluate the impact of choroidal detachment on short-term surgical outcomes in highly myopic macular hole retinal detachment (MHRD) and to discern the risk factors associated with macular hole (MH) closure. Methods: A retrospective analysis was carried out on 104 highly myopic MHRD eyes that underwent vitrectomy and intraocular tamponade. Patients were stratified according to the presence or absence of preoperative choroidal detachment. Demographic data, preoperative ocular parameters, and postoperative outcomes were compared. Logistic regression analysis was employed to identify risk factors for MH closure. Results: No significant differences were observed in age or disease duration between groups. Preoperative visual acuity was inferior in the choroidal detachment group (2.19 ± 0.70 LogMAR Conclusion: Choroidal detachment exerts an adverse impact on postoperative visual acuity and is associated with a significantly higher rate of rescue surgical intervention. Younger age and higher preoperative intraocular pressure (IOP) may impede MH closure.
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