Efficacy of non-fovea-sparing ILM peeling for symptomatic myopic foveoschisis with and without macular hole

Autor: Hassan Aly Mortada, Amer Hamad Al-Badawi, Tamer A. Macky, Mohamad Amr Salah Eddin Abdelhakim
Rok vydání: 2018
Předmět:
Adult
Male
Pars plana
medicine.medical_specialty
Visual acuity
genetic structures
Retinoschisis
medicine.medical_treatment
Visual Acuity
Vitrectomy
Endotamponade
Ophthalmologic Surgical Procedures
Posterior vitreous detachment
Basement Membrane
Foveoschisis
03 medical and health sciences
Cellular and Molecular Neuroscience
0302 clinical medicine
Optical coherence tomography
Ophthalmology
medicine
Humans
Prospective Studies
Macular hole
Aged
Aged
80 and over
medicine.diagnostic_test
business.industry
Middle Aged
Retinal Perforations
medicine.disease
eye diseases
Sensory Systems
Treatment Outcome
medicine.anatomical_structure
Myopia
Degenerative
030221 ophthalmology & optometry
Female
sense organs
medicine.symptom
Epiretinal membrane
business
Tomography
Optical Coherence
030217 neurology & neurosurgery
Zdroj: British Journal of Ophthalmology. 103:257-263
ISSN: 1468-2079
0007-1161
DOI: 10.1136/bjophthalmol-2017-311775
Popis: AimTo study anatomical and visual outcomes of pars plana vitrectomy (PPV) with non-fovea-sparing (entire) internal limiting membrane (ILM) peeling in eyes with myopic foveoschisis (MF).MethodsProspective interventional case series of eyes undergoing PPV with entire ILM peeling for symptomatic MF.Main outcome measuresPreoperative spectral domain optical coherence tomography (SD-OCT) epiretinal membrane, anomalous posterior vitreous detachment, vitreoschisis and postoperative changes in SD-OCT central foveal thickness (CFT), ellipsoid zone defect, foveal detachment (FD), macular hole (MH) diameter (if present) and best-corrected visual acuity (BCVA) in logarithm of the minimum angle of resolution (logMAR).ResultsThis study included 21 eyes (21 patients) with mean age 60.4±13.1, 15 females (71.4%). All patients achieved complete postoperative reattachment by SD-OCT (no FD) 6 months post vitrectomy, with no iatrogenic intraoperative or postoperative MH, and with significant improvement in final BCVA from 1.6±0.30 to1.0±0.2 logMAR, and in CFT from 918.2±311.4 to182.3±33.1 µm. Patients were subdivided intosubgroup A:11 eyes without MH; andsubgroup B:10 eyes with MH, the latter had significant improvement in MH diameter (p=0.005). Preoperative BCVA was a significant risk factor for visual gain, while preoperative FD and CFT were significant for CFT change.ConclusionVitrectomy with non-fovea-sparing (entire) ILM peeling resulted in a significant functional and anatomical improvement in eyes with MF with/without MH with no reported complications. Results are comparable to fovea-sparing ILM peeling.
Databáze: OpenAIRE
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