Recurrent myopic foveoschisis: resolution after internal limiting membrane removal

Germano, Renato Antunes Schiave; Zacharias, Leandro Cabral; Takahashi, Walter Yukiko

doi:10.5935/0004-2749.20150012

Cited by 7 publications

(5 citation statements)

References 10 publications

(17 reference statements)

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“…However, after undergoing PPV combined with ILM peeling, there was no recurrence at the 6-month follow-up, and the BCVA improved to 20/25. An OCT examination revealed significant improvement in the macular structure [ 25 ]. Moreover, Sayanagi et al described two cases of patients with refractory MF.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of pars plana vitrectomy combined with internal limiting membrane peeling and gas tamponade for treating myopic foveoschisis: a meta-analysis

Song,

He,

Huang

et al. 2024

BMC Ophthalmol

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Objective This study aimed to evaluate and explore the efficacy of pars plana vitrectomy (PPV) combined with internal limiting membrane (ILM) peeling and gas tamponade in treating myopic foveoschisis (MF) through a meta-analysis. Methods Systematic searches were conducted on the PubMed, Web of Science and National Library of Medicine (NLM) English-language databases and the China National Knowledge Infrastructure (CNKI) and Wanfang Chinese-language databases. The primary outcome measures were postoperative best-corrected visual acuity (BCVA) and central foveal thickness (CFT), with the secondary outcome being the postoperative complication rate. Data analysis was performed using RevMan5.3 software. Results A total of 10 studies involving 234 eyes were included. The meta-analysis results showed the following: (1) The average postoperative BCVA improved compared with preoperative levels, with an average improvement in the logarithm of the minimum angle of resolution of 0.40, a statistically significant difference (95% CI: −0.44, − 0.20, p < 0.001); (2) the rate of postoperative BCVA improvement was 77% (95% CI: 65%, 90%, p < 0.001); (3) the postoperative CFT significantly decreased by an average of 385.92 μm, a statistically significant difference (95% CI: −437.85, − 333.98, p < 0.001); (4) the postoperative macular retinal complete reattachment rate was 90% (95% CI: 83%, 97%, p < 0.001); (5) the most common postoperative complication was a cataract, with an incidence of 55.9%. Conclusion Using PPV combined with ILM peeling and gas tamponade to treat MF is reliable.

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Section: Discussionmentioning

confidence: 99%

Efficacy of pars plana vitrectomy combined with internal limiting membrane peeling and gas tamponade for treating myopic foveoschisis: a meta-analysis

Song,

He,

Huang

et al. 2024

BMC Ophthalmol

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“…**level of significance, p < 0.01. ***level of significance, p = 0.001 [40,44]. Ikuno et al suggested that with foveal can obtain the most functional benefit from surgery compared to other [18].…”

Section: Discussionmentioning

confidence: 99%

“…ILM peeling has been suggested to increase the surgical success rate in all stages of myopic foveoschisis [17,24,28,30,31,35,[40][41][42], ensuring that all residual hyaloid and ERM are removed and increasing retinal adhesion to the posterior staphyloma. Despite ILM peeling in highly myopic eyes is technically challenging, it has been suggested that a wider peel area overlying the staphyloma may be useful, as we observed.…”

Section: Discussionmentioning

confidence: 99%

Morphologic and functional outcomes of different optical coherence tomography patterns of myopic foveoschisis after vitrectomy and inner limiting membrane peeling

Sborgia

Boscia

Niro

et al. 2019

Eye

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Objective To evaluate the morphologic and functional outcomes of different optical coherence tomography (OCT) patterns of myopic foveoschisis after vitrectomy with Inner Limiting Membrane (ILM) peeling. Methods In this prospective non-randomised study, 62 consecutive eyes with Myopic Foveoschisis were categorised into three groups according to OCT pattern: retinoschisis type (Rt) Group (23/62), foveal detachment type (FDt) Group (20/62) and macular hole type (MHt) Group (19/62). All patients underwent 25-Gauge vitrectomy and ILM peeling. Air or gas tamponade was used. All patients were observed at month 1, 2, 4 and 6 after surgery. Main outcomes measures: surgical success as resolution of myopic foveoschisis, central retinal thickness (CRT), IS/OS junction recovery and best-corrected visual acuity (BCVA) measurement. Any complication was reported. Results In all eyes OCT showed a resolution of the retinoschisis, foveal detachment and macular hole pattern, respectively. CRT significantly decreased in all Groups (p < .001), mainly in MHt. IS/OS junction recovery was mainly observed in MHt. BCVA significantly increased in all Groups (p < .01). A functional gain ≥2 Snellen lines occurred in 70, 85 and 68% in the Rt, FDt and MHt Group, respectively. Final BCVA was correlated with preoperative BCVA (R 0.74, p < 0.0001), postoperative CRT (R −0.49, p < 0.0001), and the recovery of IS/OS junction at 6 months (R 0.76, p < 0.0001). Few postoperative complications occurred. Conclusions Vitrectomy with ILM peeling results in favourable anatomic and functional outcomes for different patterns of myopic foveoschisis.

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“…In this condition, vitrectomy is a relatively more suitable surgical strategy, which can remove the posterior vitreous cortex and abnormal vitreomacular traction. On the other hand, for significant axial elongated eyes, especially combined with posterior scleral staphyloma, vitrectomy alone is not enough to for foveoschisis relief and macular reattachment [11][12][13] . In our previous study, we compared the surgical outcome of PSR followed by vitrectomy and vitrectomy alone on MF of extremely pathologic myopic eyes.…”

Section: Introductionmentioning

confidence: 99%

Long-term outcome of pathologic myopic foveoschisis treated with posterior scleral reinforcement followed by vitrectomy

Huang¹,

Wei²,

Duan³

2022

Int J Ophthalmol

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AIM: To report the long-term outcome of posterior scleral reinforcement (PSR) followed by vitrectomy for pathologic myopic foveoschisis (MF). METHODS: The records of 27 patients (44 eyes) treated with posterior scleral reinforcement (PSR) followed by vitrectomy for pathologic MF were retrospectively reviewed. The best-corrected visual acuity (BCVA), refractive error, axial length, and spectral-domain optical coherence tomography findings and complications were analyzed. RESULTS: Forty-four eyes of 27 patients were included in this study. The follow-up period was 47.98±18.23mo (24-83mo). The mean preoperative BCVA (logMAR) was 1.13±0.63, and the mean postoperative BCVA was 0.30±0.33 at the last visit. There showed a significant improvement in BCVA postoperatively (P<0.001). Postoperative BCVA in 41 eyes (93%) was improved compared with the preoperative one. Forty-two eyes (95.45%) got total resolution of the MF after surgery. The remaining two eyes (4.55%) got partial resolution of foveoschisis. The preoperative foveal thickness was 610.45±217.11 μm and the postoperative foveal thickness at the last visit was significantly reduced to 177.64±55.40 μm (P<0.001). The preoperative axial length was 29.60±1.71 mm, and the postoperative axial length was 29.74±1.81 mm at the last visit. There was no significant increase in axial length within 47.98±18.23mo of follow-up (P=0.562). There was no recurrence of foveoschisis or occurrence of full-thickness macular hole during the whole follow-up period. CONCLUSION: For pathologic MF, PSR followed by vitrectomy is an effective procedure to improve the visual acuity and the anatomical structure of macula. It can also stabilize the axial length for a long time.

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Recurrent myopic foveoschisis: resolution after internal limiting membrane removal

Cited by 7 publications

References 10 publications

Efficacy of pars plana vitrectomy combined with internal limiting membrane peeling and gas tamponade for treating myopic foveoschisis: a meta-analysis

Efficacy of pars plana vitrectomy combined with internal limiting membrane peeling and gas tamponade for treating myopic foveoschisis: a meta-analysis

Morphologic and functional outcomes of different optical coherence tomography patterns of myopic foveoschisis after vitrectomy and inner limiting membrane peeling

Long-term outcome of pathologic myopic foveoschisis treated with posterior scleral reinforcement followed by vitrectomy

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