AIM:To analyze retinal reattachment rate and the incidence of high intraocular pressure vitreous surgery combined with silicone oil or C₃F₈ tamponade for patients with macular hole retinal detachment(MHRD)in pathologic high myopic eyes. And to provide clinical reference of such surgery in the choice of filler.

METHODS:A retrospective case-controlled study was designed. Continuous observation of the patients with high myopia MHRD at different periods was carried out. These patients who underwent vitrectomy with silicone oil or C₃F₈ intraocular tamponade were retrospectively analyzed in 1wk and 1, 3, 6, 12mo after surgery. The rate of retinal reattachment and the incidence of high intraocular pressure were analyzed between two groups, in order to obtain the best way to fill.

RSULTS:There was no statistically significant difference in the rate of retinal reattachment between silicone oil group and C₃F₈ tamponade group after initial surgery although silicone oil group was higher than C₃F₈ tamponade group in the rate of retinal reattachment. Silicone oil group was higher than C₃F₈ tamponade group of the incidence about high intraocular pressure after vitreous surgery. But there was no statistically significant difference in both groups.

CONCLUSION: We should take individual programs which filler were used after vitrectomy for patient with MHRD in high myopic eyes.