Silicone oil tamponade in eyes with posterior staphyloma and retinal detachment caused by macular hole

Purpose: A retinal detachment caused by a macular hole in an eye with a pos terior staphyloma presents a therapeutical challenge. Vitrectomy and silico ne oil tamponade might be a therapeutic strategy in such eyes. Methods: We report on three eyes of three patients with retinal detachment caused by a macular hole in the presence of a posterior staphyloma, where a vitrectomy and a silicone oil filling was performed, Results: In all three eyes the retina could be reattached, After oil remova l, the retina remained attached in all three eyes until the end of the foll ow-up period (mean 18.7 months). In all three eyes, visual acuity improved, no major complications were noted. Conclusion: The use of silicone oil in eyes with retinal detachment caused by a macular hole in the presence of a posterior staphyloma presents a ther apeutic option and we discuss this strategy as a primary treatment for thes e eyes.