Macular Buckling for Eyes With Myopic Foveoschisis Secondary to Posterior Staphyloma

Mateo, Carlos; Burés-Jelstrup, Anniken; Navarro, Rafael; Corcóstegui, Borja

doi:10.1097/iae.0b013e31822e5c32

Cited by 60 publications

(44 citation statements)

References 28 publications

(28 reference statements)

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“…We also agree with Mateo et al [25] that macular buckling should be considered in eyes with posterior staphyloma and great axial length. A macular plombe reshapes the posterior scleral wall and releases the traction caused by the posterior staphyloma, in combination with vitrectomy, to avoid the anteroposterior traction caused by vitreous cortex or tangential traction caused by the premacular membrane or ILM.…”

Section: Discussionsupporting

confidence: 64%

Natural Course and Surgical Management of High Myopic Foveoschisis

et al. 2013

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Purpose: To describe the spectral-domain optical coherence tomographic characteristics, natural course and surgical management for eyes with myopic foveoschisis. Methods: The medical records of 39 consecutive patients (56 eyes) with myopic foveoschisis were retrospectively reviewed. Pars plana vitrectomy with internal limiting membrane peeling and Brilliant Blue G staining was performed on 16 symptomatic eyes (14 patients). Results: Optical coherence tomography at baseline showed an isolated foveoschisis in 62.5%, foveal detachment in 21.4%, and a lamellar hole in 16.1% of the eyes. After a mean follow-up period of 15.7 months, 1.8% of the eyes developed a full-thickness macular hole and 28.5% of the eyes required surgery. The mean preoperative visual acuity (VA) was 20/63 and the mean central retinal thickness (CRT) was 507.6 µm. The mean postoperative VA was 20/40 and the mean CRT 282.9 µm. Anatomical success was achieved in 75% of the eyes at a mean of 3.3 months after surgery, and 81.2% of the eyes had an improvement of 2 lines of VA. Conclusion: Myopic foveoschisis remained stable in most eyes; however, 28.5% of the eyes had decreases in VA secondary to progression of the foveoschisis and required surgery.

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Section: Discussionsupporting

confidence: 64%

Natural Course and Surgical Management of High Myopic Foveoschisis

et al. 2013

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“…In 2006, Baba et al [26] used macular buckling alone to treat cases with foveoschisis and foveal detachment, achieving a visual improvement of two or more lines in 66% of the eyes. Mateo et al [27,28] showed similar results in a large series using macular buckling combined with vitrectomy ( fig. 4).…”

Section: Surgical Techniquesupporting

confidence: 73%

Myopic Traction Maculopathy

Gómez-Resa

Burés-Jelstrup²,

Mateo³

2014

Microincision Vitrectomy Surgery

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Myopic traction maculopathy is a high myopia-related complication caused by several mechanisms with traction as a common pathway. Macular hole-related retinal detachment is considered to be the final stage of progressive foveoschisis. In this setting, release of all vitreous and epiretinal tractions is essential in order to achieve surgical success. Pars plana vitrectomy has proven useful in the treatment of myopic foveoschisis, with both good visual and anatomical results. However, the surgical technique for the treatment of macular hole-related retinal detachment is still a controversial issue: reoperations are common and the final visual prognosis is limited, especially in those cases with a pronounced posterior staphyloma. We must also bear in mind that a highly myopic eye has some characteristic traits that may complicate vitreoretinal surgery. In these cases, microincision vitrectomy surgery may offer some advantages compared to conventional vitrectomy.

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“…4 In 2010, Kumagai 45 In 2012, Mateo and Corcostegui et al described using vitrectomy with a macular buckle in 16 eyes with documented progression on MF and reduced visual acuity, and obtained an improvement in acuity of 87.5%. 39 MF resolution on OCT was achieved in all patients but was observed to occur earlier in those treated with the Ando plombe compared with the hard silicone implant for posterior buckling.…”

Section: Managementmentioning

confidence: 96%

Myopic foveoschisis: a clinical review

Gohil

Sivaprasad

Han

et al. 2015

Eye

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To review the literature on epidemiology, clinical features, diagnostic imaging, natural history, management, therapeutic approaches, and prognosis of myopic foveoschisis. A systematic Pubmed search was conducted using search terms: myopia, myopic, staphyloma, foveoschisis, and myopic foveoschisis. The evidence base for each section was organised and reviewed. Where possible an authors' interpretation or conclusion is provided for each section. The term myopic foveoschisis was first coined in 1999. It is associated with posterior staphyloma in high myopia, and is often asymptomatic initially but progresses slowly, leading to loss of central vision from foveal detachment or macular hole formation. Optical coherence tomography is used to diagnose the splitting of the neural retina into a thicker inner layer and a thinner outer layer, but compound variants of the splits have been identified. Vitrectomy with an internal limiting membrane peel and gas tamponade is the preferred approach for eyes with vision decline. There has been a surge of new information on myopic foveoschisis. Advances in optical coherence tomography will continually improve our understanding of the pathogenesis of retinal splitting, and the mechanisms that lead to macular damage and visual loss. Currently, there is a good level of consensus that surgical intervention should be considered when there is progressive visual decline from myopic foveoschisis.

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Macular Buckling for Eyes With Myopic Foveoschisis Secondary to Posterior Staphyloma

Cited by 60 publications

References 28 publications

Natural Course and Surgical Management of High Myopic Foveoschisis

Natural Course and Surgical Management of High Myopic Foveoschisis

Myopic Traction Maculopathy

Myopic foveoschisis: a clinical review

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