Retinoschisis: a predictive factor in vitrectomy for macular holes without retinal detachment in highly myopic eyes

Jo, Yukari; Ikuno, Yasushi; Nishida, Kohji

doi:10.1136/bjo.2011.203232

Cited by 58 publications

(31 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A larger sample size would likely have improved the statistical power of the study and more properly supported the conclusions. The degree of myopic chorioretinal atrophy is known to limit good visual outcome [21, 22], but this factor was not evaluated due to the difficulty of establishing a definite diagnosis. Nor was the relationship between restoration lines and visual acuity investigated.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Anatomical and Visual Outcomes between Idiopathic and Myopic Macular Holes Using the Internal Limiting Membrane or Inverted Internal Limiting Membrane Flap Technique

Iturburu

Garcia-Arumí

Álvarez

et al. 2019

Journal of Ophthalmology

View full text Add to dashboard Cite

Purpose. To compare the results of vitrectomy with those of internal limiting membrane (ILM) peeling or inverted ILM flap for treating myopic or idiopathic macular hole. Methods. Thirty-nine eyes of 39 patients undergoing vitrectomy with ILM peeling for macular hole (25 idiopathic and 14 myopic) and 27 eyes of 27 patients undergoing vitrectomy with inverted ILM flap (15 idiopathic and 12 myopic) were included. Outcome measures were macular hole closure by optical coherence tomography and visual acuity at 6 months. Results. Closure was achieved in 25 (100%) idiopathic and 12 (86%) myopic macular holes in the ILM peeling group and in 14 (93%) idiopathic and 11 (91.77%) macular holes in the inverted ILM flap group. There were no statistically significant differences in restoration of the external limiting membrane and ellipsoid zone between the groups. Median best-corrected visual acuity (logarithm of minimal angle of resolution) at the end of follow-up was 0.22 (20/32 Snellen) in idiopathic and 0.4 (20/50) in myopic (P=0.042) patients in the ILM peeling group and 0.4 (20/50) in idiopathic and 0.4 (20/50) in myopic (P=0.652) patients in the inverted ILM flap group. Conclusion. Both techniques were associated with high closure rates in myopic and idiopathic macular holes, with somewhat better visual outcomes in idiopathic cases. The small sample size may have provided insufficient power to support the superiority of one technique over the other in the two groups.

show abstract

Section: Discussionmentioning

confidence: 99%

Comparison of Anatomical and Visual Outcomes between Idiopathic and Myopic Macular Holes Using the Internal Limiting Membrane or Inverted Internal Limiting Membrane Flap Technique

Iturburu

Garcia-Arumí

Álvarez

et al. 2019

Journal of Ophthalmology

View full text Add to dashboard Cite

show abstract

“…The “schisis type” is associated with an high risk of MHRD. 59 Protective factors to MHRD are all those factors that reduce the subretinal forces: a reduced height of PS, dome-shaped macula (DSM) and greater choroidal and scleral thickness. 60 …”

Section: Morphological Changes In Mtmmentioning

confidence: 99%

<p>Myopic Traction Maculopathy: Diagnostic and Management Strategies</p>

Frisina¹,

Gius²,

Palmieri³

et al. 2020

OPTH

View full text Add to dashboard Cite

Pathologic myopia (PM) is an ocular disorder characterized by a spherical equivalent (SE) of more than – 6.0 diopters (D) or by an axial length (AL) of more than 26.5 millimeters (mm). PM is associated with myopic maculopathy (MM). The ATN classification describes all the aspects of MM which regroups atrophic, tractional and neovascular consequences to the sclera, choroid and retina of highly myopic eyes. The advent of OCT allowed to define the ultrastructural characteristics of the tractional changes in MM, described by the term myopic traction maculopathy (MTM). They include foveoschisis/maculoschisis/retinoschisis (FS/MS/RS), retinal/foveal detachment (RD/FD), lamellar macular holes (LMH) and full-thickness macular holes (FTMH) with or without RD (MHRD). The MTM staging system (MSS) describes all foveal and retinal changes related to MTM and their natural history interpreting them as different stages of a single progressive disorder. The management of MTM can be just observation for the earliest cases with good vision or surgery for the severe stages with vision loss. There are two possible surgical approaches: ab externo, that acts on the alteration of the scleral shape and includes posterior scleral reinforcement and macular buckle. Ab interno, that targets the alteration of the foveal profile and consists in pars plana vitrectomy with removal of all the epiretinal tractions, maneuvers on the internal limiting membrane, and the use of intravitreal tamponade and laser. As they target two different sides of the same pathology, the two techniques have to be selected on the base of the MTM stage, single or combined.

show abstract

“…In the case of flat PS, vitreoretinal tractions are not sufficient to produce the concomitant FS or retinal detachment [41, 42], and the pathogenetic mechanism of MH formation seems to be similar to those of emmetropic eyes [43].…”

Section: Pathogenesismentioning

confidence: 99%

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

Giacinto

Pastore

Cirigliano

et al. 2019

Journal of Ophthalmology

View full text Add to dashboard Cite

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.

show abstract

Retinoschisis: a predictive factor in vitrectomy for macular holes without retinal detachment in highly myopic eyes

Abstract: There are two types of macular holes (MHs) in highly myopic eyes with distinctly different prognoses. Preoperative OCT images must be interpreted carefully to determine the precise surgical results. Retinoschisis negatively impacts vitrectomy for HMMHs.

Cited by 58 publications

References 19 publications

Comparison of Anatomical and Visual Outcomes between Idiopathic and Myopic Macular Holes Using the Internal Limiting Membrane or Inverted Internal Limiting Membrane Flap Technique

Comparison of Anatomical and Visual Outcomes between Idiopathic and Myopic Macular Holes Using the Internal Limiting Membrane or Inverted Internal Limiting Membrane Flap Technique

<p>Myopic Traction Maculopathy: Diagnostic and Management Strategies</p>

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

Contact Info

Product

Resources

About