Evaluation of effectiveness of vitrectomy associated with internal limiting membrane peeling without tamponade for myopic foveoschisis_Chinese Journal of Ocular Fundus Diseases

Authors：

ZhuLi ,  ChenXiao , SongYanping , 晏颖 , 洪玲 , 曾苗

Wuhan General Hospital of Guangzhou Military Command, Wuhan 430070, China;

Corresponding author：

ChenXiao, Email: cxfn817@163.com

Keywords：

Myopia, degenerative/surgery; Retinoschisis/surgery; Retinal perforations/surgery; Vitrectomy

DOI：

10.3760/cma.j.issn.1005-1015.2015.05.011

Video：

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Objective To evaluate the efficacy of vitrectomy with internal limiting membrane peeling without intraocular tamponade in the treatment of myopic foveoschisis. Methods Twenty-three eyes of 23 patients with myopic foveoschisis underwent vitreoretinal surgery were analyzed retrospectively. All the patients had undergone the examinations of best corrected visual acuity (BCVA), intraocular pressure, slit lamp microscope, direct ophthalmoscope, A or B ultrasonic scan and optical coherence tomography(OCT).The mean BCVA was 0.02-0.4, mean diopter was (-14.1±3.8) D, mean axial length was (28.8±1.5) mm, mean central fovea thickness (CFT) was (573.2±142.8) μm. A standard 3-port pars plana vitrectomy (25-gauge system) was performed in all patients. There was no tamponade at the end of the operation. The follow-up varied from 6 to 28 months. The visual acuity, CFT, retinal reattachment and the complications were observed. Results At the latest follow up, there were 16 eyes (69.6%) were anatomically reattached, 4 eyes (17.4%) were partly anatomically reattached, 3 eyes (13.0%) were not reattached. Postoperative BCVA improved in 22 eyes (52.2%), unchanged in 9 eyes (39.1%), and decreased in 2 eyes (8.7%). No ocular complications such as macular hole, fundus hemorrhage, low or high intraocular pressure, endophthalmitis were found. Conclusion Vitrectomy with internal limiting membrane peeling without gas tamponade can effectively treat myopic foveoschisis without ocular complications.

Citation： ZhuLi, ChenXiao, SongYanping. Evaluation of effectiveness of vitrectomy associated with internal limiting membrane peeling without tamponade for myopic foveoschisis. Chinese Journal of Ocular Fundus Diseases, 2015, 31(5): 455-458. doi: 10.3760/cma.j.issn.1005-1015.2015.05.011 Copy

1.	Benhamou N, Massin P, Haouchine B, et al. Macular retinosehisis in highly myopic eyes[J].Am J Ophthalmol, 2002, 133(6):794-800.
2.	马进, 朱铁培, 张倩茹, 等.高度近视黄斑劈裂视网膜内界膜剥离手术联合全氟丙烷眼内填充疗效评价[J].中华眼底病杂志, 2009, 25(5):341-343.
3.	Kim KS, Lee SB, Lee WK.Vitrectomy and internal limiting membrane peeling with and without gas tamponade for myopic foveoschisis[J].Am J Ophthalmol, 2012, 153(2):320-326.
4.	Lim SJ, Kwon YH, Kim SH, et al. Vitrectomy and internal limiting membrane peeling without gas tamponade for myopic foveoschisis[J]. Graefe＇s Arch Clin Exp phthalmol, 2012, 250(11):1573-1577.
5.	Panozzo G, Mercanti A. Vitrectomy for myopic traction maculopathy[J]. Arch Ophthalmol, 2007, 125(6):767-772.
6.	陈彦, 郑斌, 沈丽君, 等.玻璃体切割联合ILM剥除术后治疗高度近视黄斑劈裂的疗效及与视觉相关生存质量的评估[J].眼科研究, 2010, 28(10):955-958.
7.	Gaueher D, Haouchine B, Tadayoni R, et al.Long-term follow-up of high myopic foveoschisis:natural course and surgical outcome[J].Am J Ophthalmol, 2007, 143(3):455-462.
8.	Uchida A, Shinoda H, Koto T, et al. Vitrectomy for myopic foveoschisis with internal limiting membrane peeling and no gas tamponade[J]. Retina, 2014, 34(3): 455-460.
9.	Zhu Z, Ji X, Zhang J, et al.Posterior scleral retinforcemenrt in the treatment of macular retinoschisis in highly myopic patients[J]. Clin Exp Ophthalmol, 2009, 37(7):660-663.
10.	张娅萍, 毛广运, 王毓琴, 等.后巩膜加固手术治疗病理性近视黄斑劈裂的疗效观察[J].中华眼底病杂志, 2015, 31(4):324-328.
11.	Kumagai K, Furukawa M, Ogino N, et al. Factors correlated with ostoperative visual acuity after vitrectomy and internal limiting membrane peeling for myopic foveoschisis[J].Retina, 2010, 30(6):874-880.
12.	Ikuno Y, Sayanagi K, Soga K, et al.Foveal anatomical status and surgical results in vitrectomy for myopic foveoschisis[J]. Jpn J Ophthalmol, 2008, 52(4):269-276.

1. Benhamou N, Massin P, Haouchine B, et al. Macular retinosehisis in highly myopic eyes[J].Am J Ophthalmol, 2002, 133(6):794-800.
2. 马进, 朱铁培, 张倩茹, 等.高度近视黄斑劈裂视网膜内界膜剥离手术联合全氟丙烷眼内填充疗效评价[J].中华眼底病杂志, 2009, 25(5):341-343.
3. Kim KS, Lee SB, Lee WK.Vitrectomy and internal limiting membrane peeling with and without gas tamponade for myopic foveoschisis[J].Am J Ophthalmol, 2012, 153(2):320-326.
4. Lim SJ, Kwon YH, Kim SH, et al. Vitrectomy and internal limiting membrane peeling without gas tamponade for myopic foveoschisis[J]. Graefe＇s Arch Clin Exp phthalmol, 2012, 250(11):1573-1577.
5. Panozzo G, Mercanti A. Vitrectomy for myopic traction maculopathy[J]. Arch Ophthalmol, 2007, 125(6):767-772.
6. 陈彦, 郑斌, 沈丽君, 等.玻璃体切割联合ILM剥除术后治疗高度近视黄斑劈裂的疗效及与视觉相关生存质量的评估[J].眼科研究, 2010, 28(10):955-958.
7. Gaueher D, Haouchine B, Tadayoni R, et al.Long-term follow-up of high myopic foveoschisis:natural course and surgical outcome[J].Am J Ophthalmol, 2007, 143(3):455-462.
8. Uchida A, Shinoda H, Koto T, et al. Vitrectomy for myopic foveoschisis with internal limiting membrane peeling and no gas tamponade[J]. Retina, 2014, 34(3): 455-460.
9. Zhu Z, Ji X, Zhang J, et al.Posterior scleral retinforcemenrt in the treatment of macular retinoschisis in highly myopic patients[J]. Clin Exp Ophthalmol, 2009, 37(7):660-663.
10. 张娅萍, 毛广运, 王毓琴, 等.后巩膜加固手术治疗病理性近视黄斑劈裂的疗效观察[J].中华眼底病杂志, 2015, 31(4):324-328.
11. Kumagai K, Furukawa M, Ogino N, et al. Factors correlated with ostoperative visual acuity after vitrectomy and internal limiting membrane peeling for myopic foveoschisis[J].Retina, 2010, 30(6):874-880.
12. Ikuno Y, Sayanagi K, Soga K, et al.Foveal anatomical status and surgical results in vitrectomy for myopic foveoschisis[J]. Jpn J Ophthalmol, 2008, 52(4):269-276.

Chinese Journal of Ocular Fundus Diseases

Evaluation of effectiveness of vitrectomy associated with internal limiting membrane peeling without tamponade for myopic foveoschisis

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