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Vitreous surgery for highly myopic eyes with foveal detachment and retinoschisis.
Ophthalmology. 2003 Sep; 110(9):1702-7.O

Abstract

PURPOSE

To evaluate the efficacy of vitreous surgery for highly myopic eyes with foveal detachment and retinoschisis.

DESIGN

Retrospective comparative interventional case series.

PARTICIPANTS

Seven patients (nine highly myopic eyes) with posterior staphyloma with foveal detachment and retinoschisis without macular hole. Preoperative best-corrected visual acuity in nine eyes ranged from 0.02 to 0.4 (average, 0.17).

METHODS

Vitreous surgery performed on all nine eyes consisted of core vitrectomy, surgically induced posterior vitreous detachment (three eyes), removal of the premacular vitreous cortex and internal limiting membrane in the posterior staphyloma, and 30% SF(6) gas tamponade. Patients were instructed to maintain a prone position for at least 1 day after surgery. The postoperative follow-up period ranged from 6 to 42.5 months (average, 20.4 months).

MAIN OUTCOME MEASURES

Visual acuity, retinal tomography monitored by optical coherence tomography.

RESULTS

In eight of the nine eyes, foveal detachment and retinoschisis gradually decreased in height, and these eyes finally attained foveal attachment and visual improvement within 6 months postoperatively. The postoperative best-corrected visual acuity of these eight eyes ranged from 0.4 to 0.6 (average, 0.48). One eye developed a full-thickness macular hole during vitreous surgery, and its postoperative best-corrected visual acuity was 0.08.

CONCLUSIONS

Foveal detachment and retinoschisis in highly myopic eyes resolved after vitrectomy. Vitreous surgery might have a rationale as prophylactic treatment for highly myopic eyes at high risk of macular hole development.

Authors+Show Affiliations

Department of Ophthalmology, Gunma University School of Medicine, Maebashi, Gunma, Japan.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

13129865

Citation

Kobayashi, Hideo, and Shoji Kishi. "Vitreous Surgery for Highly Myopic Eyes With Foveal Detachment and Retinoschisis." Ophthalmology, vol. 110, no. 9, 2003, pp. 1702-7.
Kobayashi H, Kishi S. Vitreous surgery for highly myopic eyes with foveal detachment and retinoschisis. Ophthalmology. 2003;110(9):1702-7.
Kobayashi, H., & Kishi, S. (2003). Vitreous surgery for highly myopic eyes with foveal detachment and retinoschisis. Ophthalmology, 110(9), 1702-7.
Kobayashi H, Kishi S. Vitreous Surgery for Highly Myopic Eyes With Foveal Detachment and Retinoschisis. Ophthalmology. 2003;110(9):1702-7. PubMed PMID: 13129865.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Vitreous surgery for highly myopic eyes with foveal detachment and retinoschisis. AU - Kobayashi,Hideo, AU - Kishi,Shoji, PY - 2003/9/18/pubmed PY - 2003/10/1/medline PY - 2003/9/18/entrez SP - 1702 EP - 7 JF - Ophthalmology JO - Ophthalmology VL - 110 IS - 9 N2 - PURPOSE: To evaluate the efficacy of vitreous surgery for highly myopic eyes with foveal detachment and retinoschisis. DESIGN: Retrospective comparative interventional case series. PARTICIPANTS: Seven patients (nine highly myopic eyes) with posterior staphyloma with foveal detachment and retinoschisis without macular hole. Preoperative best-corrected visual acuity in nine eyes ranged from 0.02 to 0.4 (average, 0.17). METHODS: Vitreous surgery performed on all nine eyes consisted of core vitrectomy, surgically induced posterior vitreous detachment (three eyes), removal of the premacular vitreous cortex and internal limiting membrane in the posterior staphyloma, and 30% SF(6) gas tamponade. Patients were instructed to maintain a prone position for at least 1 day after surgery. The postoperative follow-up period ranged from 6 to 42.5 months (average, 20.4 months). MAIN OUTCOME MEASURES: Visual acuity, retinal tomography monitored by optical coherence tomography. RESULTS: In eight of the nine eyes, foveal detachment and retinoschisis gradually decreased in height, and these eyes finally attained foveal attachment and visual improvement within 6 months postoperatively. The postoperative best-corrected visual acuity of these eight eyes ranged from 0.4 to 0.6 (average, 0.48). One eye developed a full-thickness macular hole during vitreous surgery, and its postoperative best-corrected visual acuity was 0.08. CONCLUSIONS: Foveal detachment and retinoschisis in highly myopic eyes resolved after vitrectomy. Vitreous surgery might have a rationale as prophylactic treatment for highly myopic eyes at high risk of macular hole development. SN - 0161-6420 UR - https://www.unboundmedicine.com/medline/citation/13129865/Vitreous_surgery_for_highly_myopic_eyes_with_foveal_detachment_and_retinoschisis_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0161-6420(03)00714-0 DB - PRIME DP - Unbound Medicine ER -