Microincision vitrectomy surgery for myopic foveoschisis

Hwang, Jong Uk; Joe, Soo Geun; Lee, Joo Yong; Kim, June-Gone; Yoon, Young Hee

doi:10.1136/bjophthalmol-2012-302906

Cited by 27 publications

(21 citation statements)

References 25 publications

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“…In addition, exclusion of the eyes with refractive error <-12.0D may be also related with the absence of macular retinoschisis in our patients. Macular retinoschisis has been frequently demonstrated in eyes with myopia beyond this criterion,[16], [17] although some reported patients had less degree of myopia [18], [19]. Meanwhile, of the 22 patients with retinoschisis, 13 were followed up for more than 1 year.…”

Section: Discussionmentioning

confidence: 99%

Peripapillary Retinoschisis in Glaucomatous Eyes

Lee

Kim

et al. 2014

PLoS ONE

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PurposeTo investigate the structural and clinical characteristics of peripapillary retinoschisis observed in glaucomatous eyes using spectral-domain optical coherence tomography (SD-OCT).MethodsCircumpapillary retinal nerve fiber layer (cpRNFL) and macular cross-hair SD-OCT scans and infrared fundus images of the glaucoma patients from the Investigating Glaucoma Progression Study (IGPS) and healthy volunteers were reviewed. Optic disc images obtained using enhanced depth imaging (EDI) SD-OCT were also evaluated. The structural characteristics and clinical course of the retinoschisis associated with glaucoma were investigated.ResultsTwenty-five retinoschisis areas were found in 22 of the 372 patients (5.9%) included in the IGPS, and in 1 area in 1 of 187 healthy control subjects (0.5%). In the 22 glaucomatous eyes with retinoschisis, the schisis was attached to the optic disc and overlapped with the retinal nerve fiber layer (RNFL) defect. The RNFL was the layer most commonly affected by the retinoschisis, either alone or together with other deeper layers. Acquired optic disc pit was identified in 8 eyes on disc photography and/or B-scan images obtained by EDI SD-OCT. Spontaneous resolution of this condition was observed in nine eyes. No retinal detachment or macular involvement of the retinoschisis was observed in any of the eyes. Multivariate analysis showed a significant influence of a higher intraocular pressure at SD-OCT scanning on the presence of retinoschisis (Odds ratio = 1.418, P = 0.001).ConclusionsThe present study investigated 22 cases of peripapillary retinoschisis in glaucomatous eyes. The retinoschisis was attached to the optic nerve and topographically correlated with RNFL defect. It often resolved spontaneously without causing severe visual disturbance. Care should be taken not to overestimate the RNFL thickness in eyes with retinoschisis, and also not to misinterpret the resolution of retinoschisis as a rapid glaucomatous RNFL deterioration.

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Section: Discussionmentioning

confidence: 99%

Peripapillary Retinoschisis in Glaucomatous Eyes

Lee

Kim

et al. 2014

PLoS ONE

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“…The tigroid fundus with patchy areas of chorioretinal atrophy provides a poor contrast background for the assessment of subtle retinal changes. Most studies have reported increased CFT in MF5 19 23 25 29 30 in the range of 400–500 μm, with reduction in thickness after successful resolution of MF. In our study, the CFT was the main predictor of postoperative visual acuity.…”

Section: Discussionmentioning

confidence: 99%

Prognostic factor analysis of vitrectomy for myopic foveoschisis

Lim

Wong

et al. 2015

Br J Ophthalmol

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“…Many studies have shown that vitrectomy, with or without internal limiting membrane (ILM) peeling and gas tamponade, is an effective treatment for myopic foveoschisis [38–41]. However, Gaucher et al [42] reported that a macular hole may develop spontaneously or possibly even after vitreous surgery, as observed in nine of the 29 eyes assessed in their long-term follow-up study.…”

Section: Current Trends In the Treatment Of Vitreoretinal Diseasesmentioning

confidence: 99%

“…In myopic foveoschisis both air and gases appear to be effective tamponades. Hwang et al [41] reported that the visual acuity of patients with a partial air tamponade did not differ from that of patients with a C 3 F 8 gas tamponade at the final follow-up. However, this is in contrast with the observations reported in Zheng et al's [43] study of the surgical outcomes of vitrectomy for myopic foveoschisis.…”

Section: Current Trends In the Treatment Of Vitreoretinal Diseasesmentioning

confidence: 99%

Tamponade or Filling Effect: Changes of Forces in Myopic Eyes

Semeraro

Morescalchi

Russo

et al. 2014

BioMed Research International

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Myopia is the most common ocular abnormality. Its high and growing prevalence has contributed to a recent surge in surgical interest in the disorder, since retinal detachment in eyes with high myopia differs from that in emmetropic eyes or eyes with low myopia. The myopic eye, because of its specific anatomy, poses special challenges that need to be overcome to ensure the appropriate use of vitreous substitutes. However, intraocular tamponades have shown great potential for revolutionizing retinal detachment surgery and vitreomacular surgery in general in myopic eyes. We provide an updated review of the clinical use of vitreous substitutes in the myopic eye, paying particular attention to analyzing the ideal function of endotamponade agents and comparing the effects of these agents on the physical and biological properties of the eye.

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Microincision vitrectomy surgery for myopic foveoschisis

Abstract: MIVS with ILM peeling appeared to yield favourable visual and anatomical outcomes for MF in highly myopic eyes.

Cited by 27 publications

References 25 publications

Peripapillary Retinoschisis in Glaucomatous Eyes

Peripapillary Retinoschisis in Glaucomatous Eyes

Prognostic factor analysis of vitrectomy for myopic foveoschisis

Tamponade or Filling Effect: Changes of Forces in Myopic Eyes

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