Risk Factors for Development of Full-Thickness Macular Holes After Pars Plana Vitrectomy for Myopic Foveoschisis

Gao, Xinxiao; Ikuno, Yasushi; Fujimoto, Satoko; Nishida, Kohji

doi:10.1016/j.ajo.2013.01.023

Cited by 64 publications

(48 citation statements)

References 36 publications

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“…The incidence of MH development is variable (0-27%) [16,34], but in all cases visual acuity tends to decline [4,12]. Foveoschisis cases with associated severe foveal detach- [12] as well as eyes with a preoperative inner segment/outer segment junction defect [35] are more prone to MH development after surgery. Shimada et al [36] suggested a fovea-sparing ILM peeling technique to avoid iatrogenic MH development (fovea sparing group 0%; complete ILM peeling group 16.7%).…”

Section: Complicationsmentioning

confidence: 99%

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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Section: Complicationsmentioning

confidence: 99%

Myopic Traction Maculopathy

Gómez-Resa

Burés-Jelstrup²,

Mateo³

2014

Microincision Vitrectomy Surgery

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“…A formation of a full-thickness macular hole after vitrectomy combined with ILM peeling for myopic schisis has been reported to occur in 19% to 27% of the eyes. [8][9][10] The visual prognosis of these iatrogenic macular hole cases is poor. 25 The surgical outcome is also poor after vitrectomy for a full-thickness macular hole with myopic schisis, especially in eyes with AL .30 mm and a posterior staphyloma.…”

Section: Scleral Imbrication For Myopic Schisis Baba Et Almentioning

confidence: 99%

“…A development of a fullthickness macular hole during and after the vitrectomy was the most serious complication for this technique, and a macular hole was observed in 19% to 27% of the cases after vitrectomy. [8][9][10] To avoid the development of a surgically induced macular hole, fovea-sparing ILM peeling has been reported. 11,12 The second method to treat a retinal schisis uses scleral surgery in which a specially designed macular buckle is used and is reported to be effective.…”

mentioning

confidence: 99%

Scleral Imbrication Combined With Pars Plana Vitrectomy Without Internal Limiting Membrane Peeling for Myopic Schisis

Baba

Sumiyoshi

Nizawa

et al. 2016

Retina

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“…Surgical manipulation of the ILM is routinely performed in humans to correct macular holes, macular puckers, and myopic foveoschisis. [39][40][41] The ILM can be surgical minimized (i.e., ''peeled'') and AAV immediately delivered to the vitreous, but this leaves the neural retina exposed to the immunological environment of the vitreous, which has just been exposed to antigen (AAV capsid). Such an approach can lead to inflammation in NHP retina.…”

Section: Discussionmentioning

confidence: 99%

“…[38][39][40][41] We therefore sought to circumvent the barriers to transduction of NHP retina associated with intravitreal injection by using a novel surgical approach termed ''subILM injection,'' wherein vector is directly placed in a surgically induced, hydrodissected space between the ILM and neural retina. This approach eliminates the impact of all three barriers identified above.…”

mentioning

confidence: 99%