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

Risultato della ricerca: Contributo in rivistaArticolo in rivista

8 Citazioni (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.
Lingua originaleEnglish
pagine (da-a)2125-2131
Numero di pagine7
RivistaRetina
Volume39
DOI
Stato di pubblicazionePubblicato - 2019

Keywords

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

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