rss
Br J Ophthalmol 2005;89:1180-1183 doi:10.1136/bjo.2005.069427
  • Clinical science
    • Extended reports

Vitrectomy and gas tamponade without internal limiting membrane peeling for myopic foveoschisis

  1. A K H Kwok1,2,
  2. T Y Y Lai3,
  3. W W K Yip3
  1. 1Department of Ophthalmology, Hong Kong Sanatorium and Hospital, Hong Kong, People’s Republic of China
  2. 2Clinical Trials Centre, Faculty of Medicine, The University of Hong Kong, Queen Mary Hospital, Hong Kong, People’s Republic of China
  3. 3Department of Ophthalmology & Visual Sciences, The Chinese University of Hong Kong, Hong Kong Eye Hospital, Hong Kong, People’s Republic of China
  1. Correspondence to: Dr T Y Y Lai Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong Eye Hospital, 147K Argyle Street, Kowloon, Hong Kong; tyylainetvigator.com
  • Accepted 1 May 2005

Abstract

Aim: To evaluate the clinical and anatomical outcomes of pars plana vitrectomy and gas tamponade without internal limiting membrane (ILM) peeling in symptomatic patients caused by myopic foveoschisis.

Methods: Nine eyes in eight highly myopic patients who had myopic foveoschisis with foveal detachment underwent vitrectomy without ILM peeling followed by gas tamponade. Main outcome measures include change in best corrected visual acuity (BCVA) and changes in height of the foveal detachment and resolution of the myopic foveoschisis measured by optical coherence tomography (OCT).

Results: After surgery, BCVA improved in eight eyes with the median BCVA improved from 20/80 to 20/50 (p = 0.012). The mean line of visual improvement was 3.6 lines. OCT showed complete resolution of myopic foveoschisis with complete foveal reattachment in seven (77.8%) eyes with partial resolution in two (22.2%) eyes. The mean height of foveal detachment decreased from 505 μm preoperatively to 21 μm postoperatively (p<0.001).

Conclusions: Vitrectomy without ILM peeling followed by gas tamponade appeared to result in favourable visual and anatomical outcomes for treating myopic foveoschisis in highly myopic eyes. The results are comparable with studies in which ILM removal was performed. Further controlled study will be useful to determine the role of ILM peeling in these patients.

Footnotes

    This Article

    1. Abstract
    2. Full text
    3. PDF

    Responses

    1. Submit a response
    2. No responses published

    Register for free content

    The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.

    Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.