August 23, 2013
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Microincision vitrectomy with ILM peeling yields good results for myopic foveoschisis

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Microincision vitrectomy surgery with internal limiting membrane peeling showed good visual and anatomical results for myopic foveoschisis in severely myopic eyes, according to a study.

The retrospective, interventional case study included 33 eyes of 29 patients with myopic foveoschisis who underwent three-port pars plana vitrectomy. Mean patient age was 63.2 years. Minimum follow-up was 6 months.

Indocyanine green was used in all cases of internal limiting membrane (ILM) peeling.

Mean BCVA significantly improved from 1.01 to 0.76 at final visit (P = .004). Central subfield thickness decreased from 431 µm to 231 µm postoperatively, which was also statistically significant (P < .001).

Macular hole developed in one eye at 3 months postoperatively; however, it was effectively managed by reoperation with silicone oil tamponade. Hypotony occurred in only one eye.

Ninety-six percent of patients displayed complete resolution of myopic foveoschisis, with complete foveal reattachment noted in spectral-domain optical coherence tomography images, the researchers wrote.

Disclosure: The study authors report no relevant financial disclosures.