Factors Correlated With Postoperative Visual Acuity After Vitrectomy and Internal Limiting Membrane Peeling for Myopic Foveoschisis

Kumagai, Kazuyuki; Furukawa, Masao; Ogino, Nobuchika; Larson, Eric

doi:10.1097/iae.0b013e3181c703fc

Cited by 81 publications

(88 citation statements)

References 39 publications

(57 reference statements)

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“…However, a better postoperative BCVA has been reported to be correlated with a better preoperative BCVA and shorter axial length. [25][26][27] Macular holes were detected intraoperatively in the FD group, but some of these MHs may have existed preoperatively and not detected by an OCT because the holes were covered with premacular fibrotic tissues.…”

Section: Discussionmentioning

confidence: 88%

“…25 Consequently, vitrectomy has been recommended when patients experience an FD with symptomatic visual impairiments. 25,26 The development of an MH or MHRD is a major complication that is associated with poor postoperative vision. 17,20 Our results showed that an MH developed intraoperatively but not postoperatively in the FD group, although an MHRD did develop postoperatively in this group.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Vitrectomy With or Without Internal Limiting Membrane Peeling for Each Stage of Myopic Traction Maculopathy

Taniuchi

Hirakata²,

Itoh³

et al. 2013

Retina

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Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Vitrectomy With or Without Internal Limiting Membrane Peeling for Each Stage of Myopic Traction Maculopathy

Taniuchi

Hirakata²,

Itoh³

et al. 2013

Retina

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“…Dyes should be used for ILM removal in highly myopic eyes because the ILM is transparent and fragile in these cases. In recent studies, the dyes used for the peeling of ILM in foveoschisis were triamcinolone acetonide or indocyanine green [20,21,22], and not Brilliant Blue G. In fact, indocyanine green has recently been reported to have a potential retinal toxicity compared with Brilliant Peel in an experimental study [23]. In our opinion, Brilliant Blue G staining should be considered in all cases with myopic foveoschisis to make the surgery easy and effective, and can lead to anatomical success as we report.…”

Section: Discussionmentioning

confidence: 99%

Natural Course and Surgical Management of High Myopic Foveoschisis

et al. 2013

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Purpose: To describe the spectral-domain optical coherence tomographic characteristics, natural course and surgical management for eyes with myopic foveoschisis. Methods: The medical records of 39 consecutive patients (56 eyes) with myopic foveoschisis were retrospectively reviewed. Pars plana vitrectomy with internal limiting membrane peeling and Brilliant Blue G staining was performed on 16 symptomatic eyes (14 patients). Results: Optical coherence tomography at baseline showed an isolated foveoschisis in 62.5%, foveal detachment in 21.4%, and a lamellar hole in 16.1% of the eyes. After a mean follow-up period of 15.7 months, 1.8% of the eyes developed a full-thickness macular hole and 28.5% of the eyes required surgery. The mean preoperative visual acuity (VA) was 20/63 and the mean central retinal thickness (CRT) was 507.6 µm. The mean postoperative VA was 20/40 and the mean CRT 282.9 µm. Anatomical success was achieved in 75% of the eyes at a mean of 3.3 months after surgery, and 81.2% of the eyes had an improvement of 2 lines of VA. Conclusion: Myopic foveoschisis remained stable in most eyes; however, 28.5% of the eyes had decreases in VA secondary to progression of the foveoschisis and required surgery.

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“…The factors that have been found to be correlated with a poorer prognosis by Kumagai and Larson et al in a retrospective study of 39 eyes undergoing vitrectomy and ILM peel were foveal detachment, high axial length, and poor pre-operative visual acuity. 37 The controversy around the risks of ILM peel was addressed by Zheng and Shen et al in a retrospective series and literature review. 41 They concluded that vitrectomy and ILM peel did not increase the risk of iatrogenic macular hole formation and that gas tamponade with C3F8 resulted in more rapid foveal reattachment and better improvement of visual acuity postoperatively.…”

Section: Managementmentioning

confidence: 99%

Myopic foveoschisis: a clinical review

Gohil

Sivaprasad

Han

et al. 2015

Eye

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To review the literature on epidemiology, clinical features, diagnostic imaging, natural history, management, therapeutic approaches, and prognosis of myopic foveoschisis. A systematic Pubmed search was conducted using search terms: myopia, myopic, staphyloma, foveoschisis, and myopic foveoschisis. The evidence base for each section was organised and reviewed. Where possible an authors' interpretation or conclusion is provided for each section. The term myopic foveoschisis was first coined in 1999. It is associated with posterior staphyloma in high myopia, and is often asymptomatic initially but progresses slowly, leading to loss of central vision from foveal detachment or macular hole formation. Optical coherence tomography is used to diagnose the splitting of the neural retina into a thicker inner layer and a thinner outer layer, but compound variants of the splits have been identified. Vitrectomy with an internal limiting membrane peel and gas tamponade is the preferred approach for eyes with vision decline. There has been a surge of new information on myopic foveoschisis. Advances in optical coherence tomography will continually improve our understanding of the pathogenesis of retinal splitting, and the mechanisms that lead to macular damage and visual loss. Currently, there is a good level of consensus that surgical intervention should be considered when there is progressive visual decline from myopic foveoschisis.

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Factors Correlated With Postoperative Visual Acuity After Vitrectomy and Internal Limiting Membrane Peeling for Myopic Foveoschisis

Abstract: Pars plana vitrectomy with internal limiting membrane peeling results in long-term favorable anatomical and visual outcomes. Eyes with an FD may be good candidates for surgery.

Cited by 81 publications

References 39 publications

Vitrectomy With or Without Internal Limiting Membrane Peeling for Each Stage of Myopic Traction Maculopathy

Vitrectomy With or Without Internal Limiting Membrane Peeling for Each Stage of Myopic Traction Maculopathy

Natural Course and Surgical Management of High Myopic Foveoschisis

Myopic foveoschisis: a clinical review

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