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A Review of Current Myopic Foveoschisis Management Strategies.
Semin Ophthalmol 2019; 34(3):146-156SO

Abstract

Myopic foveoschisis (MF) is common in highly myopic eyes with posterior staphyloma, and optical coherence tomography is essential for establishing the diagnosis and monitoring disease progression. Untreated MF may lead to significant visual loss due to secondary complications. Vitrectomy with or without internal limiting membrane peeling followed by gas tamponade is the standard treatment; however, in recent years, new techniques, including macular buckling, have been introduced. We selected a total of 41 articles with 30 describing various modifications of pars plana vitrectomy, six describing the macular buckling technique, and five reporting combined surgery. The present review describes current MF treatment strategies, including outcomes, and provides a comprehensive understanding of current therapeutic options. Early detection and surgical intervention in eyes with specific risk factors may contribute to both improved visual recovery and more favorable anatomical outcomes.

Authors+Show Affiliations

a Department of Retina and Vitreous Surgery , Medical University of Lublin , Lublin , Poland.a Department of Retina and Vitreous Surgery , Medical University of Lublin , Lublin , Poland.a Department of Retina and Vitreous Surgery , Medical University of Lublin , Lublin , Poland.

Pub Type(s)

Journal Article
Systematic Review

Language

eng

PubMed ID

31060414

Citation

Dolar-Szczasny, Joanna, et al. "A Review of Current Myopic Foveoschisis Management Strategies." Seminars in Ophthalmology, vol. 34, no. 3, 2019, pp. 146-156.
Dolar-Szczasny J, Święch-Zubilewicz A, Mackiewicz J. A Review of Current Myopic Foveoschisis Management Strategies. Semin Ophthalmol. 2019;34(3):146-156.
Dolar-Szczasny, J., Święch-Zubilewicz, A., & Mackiewicz, J. (2019). A Review of Current Myopic Foveoschisis Management Strategies. Seminars in Ophthalmology, 34(3), pp. 146-156. doi:10.1080/08820538.2019.1610180.
Dolar-Szczasny J, Święch-Zubilewicz A, Mackiewicz J. A Review of Current Myopic Foveoschisis Management Strategies. Semin Ophthalmol. 2019;34(3):146-156. PubMed PMID: 31060414.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A Review of Current Myopic Foveoschisis Management Strategies. AU - Dolar-Szczasny,Joanna, AU - Święch-Zubilewicz,Anna, AU - Mackiewicz,Jerzy, Y1 - 2019/05/06/ PY - 2019/5/8/pubmed PY - 2019/7/6/medline PY - 2019/5/8/entrez KW - Myopic foveoschisis KW - foveal detachment KW - macular buckling KW - macular hole KW - vitrectomy SP - 146 EP - 156 JF - Seminars in ophthalmology JO - Semin Ophthalmol VL - 34 IS - 3 N2 - Myopic foveoschisis (MF) is common in highly myopic eyes with posterior staphyloma, and optical coherence tomography is essential for establishing the diagnosis and monitoring disease progression. Untreated MF may lead to significant visual loss due to secondary complications. Vitrectomy with or without internal limiting membrane peeling followed by gas tamponade is the standard treatment; however, in recent years, new techniques, including macular buckling, have been introduced. We selected a total of 41 articles with 30 describing various modifications of pars plana vitrectomy, six describing the macular buckling technique, and five reporting combined surgery. The present review describes current MF treatment strategies, including outcomes, and provides a comprehensive understanding of current therapeutic options. Early detection and surgical intervention in eyes with specific risk factors may contribute to both improved visual recovery and more favorable anatomical outcomes. SN - 1744-5205 UR - https://www.unboundmedicine.com/medline/citation/31060414/A_Review_of_Current_Myopic_Foveoschisis_Management_Strategies L2 - http://www.tandfonline.com/doi/full/10.1080/08820538.2019.1610180 DB - PRIME DP - Unbound Medicine ER -