AIM: To evaluate the efficacy of optical coherence tomography(OCT)in highly myopic macular hole after silicone oil tamponade.

METHODS: A retrospective analysis of 20 cases of high myopia macular hole with retinal detachment after vitrectomy with silicone oil tamponade was performed. The mean follow-up time was 7 months. OCT examination was given to assess the macular hole closure and retinal reset during the follow-up. Best corrected visual acuity(BCVA)was recorded.

RESULTS: There were three kinds of postoperative OCT performance: macular hole closure in 2 eyes(10%), macular hole was not closed but the retinal reattachment in 16 eyes(80%), macular hole was not closed with shallow retinal detachment in 2 eyes(10%). Postoperative BCVA improved compared with that of preoperative. The improvement of visual acuity was closely related to the anatomy reset of macular hole. No serious postoperative complications occurred.

CONCLUSION: OCT for macular hole in high myopia silicone oil tamponade postoperative follow-up can confirm the diagnosis of macular hole closure and retinal reset, providing the means of reference for the timing of silicone oil removal.