Long-Term Outcomes of 23-Gauge Pars Plana Vitrectomy With Internal Limiting Membrane Peeling and Gas Tamponade for Myopic Traction Maculopathy

Figueroa, Marta S.; Ruiz-Moreno, José M.; Valle, F. González del; Govetto, Andrea; Vega, Concepción de la; Plascencia, Raquel Núñez; Contreras, Inés; Medina, Javier Lara

doi:10.1097/iae.0000000000000554

Cited by 42 publications

(32 citation statements)

References 35 publications

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“…Once the tractional component is removed, interstitial fluid may be reabsorbed by the RPE pump and the Müller Cells, with the slow restoration of the macular microstructure. [23][24][25] We speculate that the content of the intraretinal cystoid spaces may differ in cases of exudative versus tractional etiology. In the exudative subgroup the blood-retinal barriers are compromised and the intraretinal fluid may assume the characteristic of an exudate.…”

Section: Discussionmentioning

confidence: 93%

Distinctive Mechanisms and Patterns of Exudative Versus Tractional Intraretinal Cystoid Spaces as Seen With Multimodal Imaging

Govetto

Sarraf

Hubschman

et al. 2020

American Journal of Ophthalmology

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Section: Discussionmentioning

confidence: 93%

Distinctive Mechanisms and Patterns of Exudative Versus Tractional Intraretinal Cystoid Spaces as Seen With Multimodal Imaging

Govetto

Sarraf

Hubschman

et al. 2020

American Journal of Ophthalmology

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“…The inverted ILM flap approach remains technically challenging even for an experienced surgeon [90]. To further steady the flap in an adequate position, the vitreous cavity can be filled with gas or silicone oil [20, 26, 75].…”

Section: Surgical Techniquesmentioning

confidence: 99%

Macular Hole in Myopic Eyes: A Narrative Review of the Current Surgical Techniques

Giacinto

Pastore

Cirigliano

et al. 2019

Journal of Ophthalmology

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Macular hole (MH) in myopic eyes is a disease arising from complex tractional forces exerted by vitreomacular interface, epiretinal tissue, and progressive scleral ectasia of the posterior ocular globe wall. This retinal disease requires vitreoretinal treatment for its repair, and the surgical intervention remains a challenge also for experienced surgeons. The aim of this review is to describe the current knowledge regarding the pathogenesis of MH in myopic eyes and to detail novel surgical techniques and technological advancements in its surgical management.

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“…The only prospective nonrandomized multicentre study for myopic foveoschisis, has confirmed a beneficial effect of vitrectomy and ILM peeling with gas tamponade on the reduction of central macular thickness, although the fovea was not spared during the ILM peeling in this series, and one patient developed a macular hole during the follow-up [11].…”

Section: Discussionmentioning

confidence: 63%

Vitrectomy with Fovea-Sparing Internal Limiting Membrane Peeling for Myopic Foveoschisis

Seppey

Wolfensberger

2017

Klin Monatsbl Augenheilkd

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Myopic foveoschisis is a rare form of a tractional maculopathy, which occurs in patients with elevated axial length. The contraction of the posterior hyaloid exerts tangential traction on the retinal surface with a subsequent continuous splitting of the retinal layers. Internal limiting membrane (ILM) peeling has been advocated in foveoschisis, but it has been associated with post-operative macular hole formation. We report on a modified surgical technique, which spares the fovea and may reduce the risk for macular hole formation. Retrospective analysis of 6 patients with myopic foveoschisis. The mean age was 53.8 ± 12.9 years (4M, 2F) and mean myopia was - 18.3 ± 6.5 Dpt. After a 23 g pars plana vitrectomy, the ILM was peeled on the entire macular surface, except in the foveal region lest the thin foveal structures be damaged. All patients received a gas tamponnade with 23 % SF6 and maintained a face down position for 5 days. Mean best-corrected pre-operative visual acuity was 0.87 ± 0.56 logMAR, which increased to 0.60 ± 0.40 logMAR at the end of follow-up. The retinal thickness, as measured by optical coherence tomography, decreased from 799 ± 352 micrometers to 318 ± 60 micrometers at the end of follow-up 7.8 ± 5.7 months. No case developed a macular hole. Vitrectomy with fovea sparing ILM peeling is a promising surgical technique, which results in an improved foveal anatomy and retinal function. Due to the sparing of the fovea, this surgical technique may reduce the risk of macular hole formation in the post-operative period.

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Long-Term Outcomes of 23-Gauge Pars Plana Vitrectomy With Internal Limiting Membrane Peeling and Gas Tamponade for Myopic Traction Maculopathy

Cited by 42 publications

References 35 publications

Distinctive Mechanisms and Patterns of Exudative Versus Tractional Intraretinal Cystoid Spaces as Seen With Multimodal Imaging

Distinctive Mechanisms and Patterns of Exudative Versus Tractional Intraretinal Cystoid Spaces as Seen With Multimodal Imaging

Macular Hole in Myopic Eyes: A Narrative Review of the Current Surgical Techniques

Vitrectomy with Fovea-Sparing Internal Limiting Membrane Peeling for Myopic Foveoschisis

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