Yasushi Ikuno1, Yasuo Tano. 1. Department of Ophthalmology, Osaka University Medical School, Osaka, Japan. ikuno@ophthal.med.osaka-u.ac.jp
Abstract
PURPOSE: We reviewed the surgical results of vitrectomy for macular holes (MHs) associated with myopic foveoschisis (MF). DESIGN: Noncomparative, interventional case series. METHODS: setting: Institutional. participants: Eight eyes of eight patients with MHs associated with MF. intervention procedure: All patients underwent vitrectomy, internal limiting membrane peeling, and gas tamponade. main outcome measures: Slit-lamp-based biomicroscopy, optical coherence tomography examinations, and best-corrected visual acuity (BCVA) measurement. RESULTS: The MHs closed in two eyes (25%), and the BCVA improved more than 2 lines in three (37.5%) eyes, remained unchanged in three (37.5%), and worsened in two (25%). The MH size increased significantly in a case with an unresolved MH (P < .05). The postoperative BCVA was significantly correlated with the preoperative BCVA (P < .05). CONCLUSIONS: Although significant visual improvement occurs in less than 50% of cases, vitrectomy can be beneficial for some cases.
PURPOSE: We reviewed the surgical results of vitrectomy for macular holes (MHs) associated with myopic foveoschisis (MF). DESIGN: Noncomparative, interventional case series. METHODS: setting: Institutional. participants: Eight eyes of eight patients with MHs associated with MF. intervention procedure: All patients underwent vitrectomy, internal limiting membrane peeling, and gas tamponade. main outcome measures: Slit-lamp-based biomicroscopy, optical coherence tomography examinations, and best-corrected visual acuity (BCVA) measurement. RESULTS: The MHs closed in two eyes (25%), and the BCVA improved more than 2 lines in three (37.5%) eyes, remained unchanged in three (37.5%), and worsened in two (25%). The MH size increased significantly in a case with an unresolved MH (P < .05). The postoperative BCVA was significantly correlated with the preoperative BCVA (P < .05). CONCLUSIONS: Although significant visual improvement occurs in less than 50% of cases, vitrectomy can be beneficial for some cases.
Authors: Heidi Laviers; Ji-Peng Olivia Li; Anna Grabowska; Stephen J Charles; David Charteris; Richard J Haynes; D Alistair H Laidlaw; David H Steel; David Yorston; Tom H Williamson; Hadi Zambarakji Journal: Eye (Lond) Date: 2018-07-16 Impact factor: 3.775