Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2016 Feb 18;9(2):258-61.
doi: 10.18240/ijo.2016.02.14. eCollection 2016.

Posterior scleral reinforcement combined with vitrectomy for myopic foveoschisis

Xiu-Juan Li  1 , Xiao-Peng Yang  2 , Qiu-Ming Li  1 , Yu-Ying Wang  1 , Jing Wang  1 , Xiao-Bei Lyu  1 , Heng Jia  1
Affiliations

Posterior scleral reinforcement combined with vitrectomy for myopic foveoschisis

Xiu-Juan Li et al. Int J Ophthalmol. .

Abstract

Aim: To investigate the effects of posterior scleral reinforcement (PSR) combined with vitrectomy for myopic foveoschisis.

Methods: Thirty-nine highly myopic eyes of 39 patients with myopic foveoschisis underwent PSR combined with vitrectomy. Best corrected visual acuity (BCVA), refraction error, and the foveal thickness by optical coherence tomography (OCT) were recorded before and after the surgery, and complications were noted.

Results: The follow-up period was 12mo, and the main focus was on the results of the 12-month follow-up visit. The mean preoperative BCVA was 0.96±0.43 logMAR. At the final follow-up visit, the mean BCVA was 0.46±0.28 logMAR, which significantly improved compared with the preoperative one (P=0.003). The BCVA improved in 33 eyes (84.62%), and unchanged in 6 eyes (15.38%). At the end of follow-up, the mean refractive error was -15.13±2.55 D, and the improvement was significantly compared with the preoperative one (-17.53±4.51 D) (P=0.002). Twelve months after surgery, OCT showed complete resolution of the myopic foveoschisis and a reat-tachment of the fovea in 37 eyes (94.87%) and partial resolution in the remained two eyes (5.13%). The foveal thickness was obviously reduced at 12-month follow-up visit (196.45±36.35 µm) compared with the preoperative one (389.32±75.56 µm) (P=0.002). There were no serious complications during the 12mo follow-up period.

Conclusion: PSR combined with vitrectomy is a safe and effective procedure for myopic foveoschisis with both visual and anatomic improvement.

Keywords: high myopia; myopic foveoschisis; posterior scleral reinforcement; vitrectomy.

PubMed Disclaimer

Figures

Figure1
Figure1. Optical coherence tomographic image of the macula
A: Preoperative image of the macula revealed myopic foveoschisis; B: Twelve months after posterior scleral reinforcement combined with vitrectomy, image of the macula revealed the complete resolution of myopic foveoschisis.
See this image and copyright information in PMC

References

    1. Wong TY, Ohno-Matsui K, Leveziel N, Holz FG, Lai TY, Yu HG, Lanzetta P, Chen Y, Tufail A. Myopic choroidal neovascularisation: current concepts and update on clinical management. Br J Ophthalmol. 2015;99(3):289–296. - PMC - PubMed
    1. Mateo C, Gómez-Resa MV, Burés-Jelstrup A, Alkabes M. Surgical outcomes of macular buckling techniques for macular retinoschisis in highly myopic eyes. Saudi J Ophthalmol. 2013;27(4):235–239. - PMC - PubMed
    1. Saxena S, Srivastav K, Cheung CM, Ng JY, Lai TY. Photoreceptor inner segment ellipsoid band integrity on spectral domain optical coherence tomography. Clin Ophthalmol. 2014;8:2507–2522. - PMC - PubMed
    1. Sepúlveda G, Chang S, Freund KB, Park S, Hoang QV. Late recurrence of myopic foveoschisis after successful repair with primary vitrectomy and incomplete membrane peeling. Retina. 2014;34(9):1841–1847. - PMC - PubMed
    1. Faghihi H, Hajizadeh F, Riazi-Esfahani M. Optical coherence tomographic findings in highly myopic eyes. J Ophthalmic Vis Res. 2010;5(2):110–121. - PMC - PubMed