Posterior scleral reinforcement combined with vitrectomy for myopic foveoschisis |
| |
Authors: | Xiu-Juan Li Xiao-Peng Yang Qiu-Ming Li Yu-Ying Wang Jing Wang Xiao-Bei Lyu and Heng Jia |
| |
Institution: | Department of Ophthalmology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, Henan Province, China;Department of Medical Equipment, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, Henan Province, China;Department of Ophthalmology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, Henan Province, China;Department of Ophthalmology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, Henan Province, China;Department of Ophthalmology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450053, Henan Province, China;Department of Ophthalmology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450054, Henan Province, China;Department of Ophthalmology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450055, Henan Province, China |
| |
Abstract: | AIMTo investigate the effects of posterior scleral reinforcement (PSR) combined with vitrectomy for myopic foveoschisis.METHODSThirty-nine highly myopic eyes of 39 patients with myopic foveoschisis underwent PSR combined with vitrectomy. Best corrected visual acuity (BCVA), refraction error, and the foveal thickness by optical coherence tomography (OCT) were recorded before and after the surgery, and complications were noted.RESULTSThe follow-up period was 12mo, and the main focus was on the results of the 12-month follow-up visit. The mean preoperative BCVA was 0.96±0.43 logMAR. At the final follow-up visit, the mean BCVA was 0.46±0.28 logMAR, which significantly improved compared with the preoperative one (P=0.003). The BCVA improved in 33 eyes (84.62%), and unchanged in 6 eyes (15.38%). At the end of follow-up, the mean refractive error was -15.13±2.55 D, and the improvement was significantly compared with the preoperative one (-17.53±4.51 D) (P=0.002). Twelve months after surgery, OCT showed complete resolution of the myopic foveoschisis and a reat-tachment of the fovea in 37 eyes (94.87%) and partial resolution in the remained two eyes (5.13%). The foveal thickness was obviously reduced at 12-month follow-up visit (196.45±36.35 µm) compared with the preoperative one (389.32±75.56 µm) (P=0.002). There were no serious complications during the 12mo follow-up period.CONCLUSIONPSR combined with vitrectomy is a safe and effective procedure for myopic foveoschisis with both visual and anatomic improvement. |
| |
Keywords: | high myopia myopic foveoschisis posterior scleral reinforcement vitrectomy |
|
| 点击此处可从《国际眼科杂志(英文版)》浏览原始摘要信息 |
| 点击此处可从《国际眼科杂志(英文版)》下载免费的PDF全文 |
|