VITRECTOMY WITH INTERNAL LIMITING MEMBRANE PEELING AND AIR TAMPONADE FOR MYOPIC FOVEOSCHISIS

Stanislao Rizzo, Fabrizio Giansanti, Lucia Finocchio*, Tomaso Caporossi, Francesco Barca, Daniela Bacherini, Giulia Cocci, Martino Vannucchi, Ruggero Tartaro, Gianni Virgili

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

8 Citations (Scopus)

Abstract

Purpose: To evaluate the functional and anatomical outcomes of 23-gauge or 25-gauge pars plana vitrectomy with internal limiting membrane peeling and air tamponade for the treatment of myopic foveoschisis. Methods: Retrospective, noncomparative, interventional case series. The records of 29 patients (32 eyes), with myopic foveoschisis who were treated by 23-gauge or 25-gauge 3-port pars plana vitrectomy with internal limiting membrane peeling and air tamponade, were reviewed. At each visit, a complete ophthalmic examination, intraocular pressure, best-corrected visual acuity, and central foveal thickness measured using optical coherence tomography were assessed. Results: Twenty-five eyes of 23 patients (M:F = 4:19) matched the inclusion criteria, whereas 7 eyes of 6 patients were excluded. The mean logarithm of the minimum angle of resolution best-corrected visual acuity (Snellen equivalent) was 0.62 (20/80) (SE: 0.061), and the mean preoperative central foveal thickness was 619.5 μm (SE: 16.38) at baseline. Visual acuity significantly improved of 5 Early Treatment Diabetic Retinopathy Study letters (45 letters) at the 1-month follow-up (P < 0.001), 2 lines (50 Early Treatment Diabetic Retinopathy Study letters) at the 6-month follow-up (P < 0.001), and it reached 55 Early Treatment Diabetic Retinopathy Study letters at the 1-year follow-up visit (P < 0.001). Central foveal thickness decreased to 292.4 μm (SE: 15.93), to 227.3 μm (SE: 14.05), and to 208.8 μm (SE: 12.86), respectively, at the 1-, 6-, and 12-month follow-ups (for each P < 0.001). There were no differences in best-corrected visual acuity or central foveal thickness changes between the foveal detachment group and the nonfoveal detachment group (P > 0.05). Conclusion: Small-gauge vitrectomy with internal limiting membrane peeling and air tamponade results in favorable anatomical and functional outcomes for patients affected by myopic macular foveoschisis.

Original languageEnglish
Pages (from-to)2125-2131
Number of pages7
JournalRetina
Volume39
Issue number11
DOIs
Publication statusPublished - 01 Nov 2019
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2019 by Ophthalmic Communications Society, Inc.

Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.

Keywords

  • air tamponade
  • ILM peeling
  • myopic foveoschisis
  • pars plana vitrectomy

ASJC Scopus subject areas

  • Ophthalmology

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