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A Review of Current Myopic Foveoschisis Management Strategies.

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.

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  • 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.

    Source

    Seminars in ophthalmology 34:3 2019 pg 146-156

    MeSH

    Diagnostic Techniques, Ophthalmological
    Humans
    Macula Lutea
    Myopia, Degenerative
    Retinoschisis
    Risk Factors
    Tomography, Optical Coherence
    Vitrectomy

    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 -