Scientific correspondence
Surgical removal of subfoveal choroidal neovascularisation in
highly myopic patients
José M Ruiz-Morenoa b, Concepción de la Vegab
a Department of
Ophthalmology, Miguel Hernández University School of Medicine,
Alicante, Spain, b Instituto Oftalmológico de Alicante
(Vitreo-Retinal Unit)
Correspondence to: José M Ruiz-Moreno, División de Oftalmología, Universidad Miguel Hernández, Campus de San Juan, 03550, Alicante, Spain jm.ruiz{at}umh.es
Accepted for publication 27 March 2001
AIM
To analyse
the visual results obtained in the treatment of subretinal choroidal
neovascularisation (CNV) in patients with high myopia by vitrectomy and
extraction of the neovascular membrane.
METHODS22 eyes of 22 patients with high myopia (>
6 dioptres and/or axial length >26 mm)
with subfoveal CNV treated by extraction of the CNV were
analysed
retrospectively. The patients' mean age was 60.27 (SD 16.41) years (range 32-83 years). The mean follow up was 29.3 (9.9) months (range 12-42 months).
RESULTSBest corrected
visual acuity (BCVA) preoperatively was 0.09 (0.07) (range 0.01-0.3).
After treatment BCVA was 0.12 (0.10) (range 0.01-0.4), a difference
without statistical significance (p=0.03, Student's
t test paired data). In four cases the CNV recurred, in three cases cataract developed that required extraction, and in one case retinal detachment occurred in the early postoperative period. Topical treatment was necessary in two cases to lower the
intraocular pressure.
CONCLUSIONSThe
treatment of subfoveal CNV in highly myopic patients by surgical
removal by vitrectomy does not achieve any significant improvement of
the BCVA.
© 2001 by British Journal of Ophthalmology
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