Outcomes of Vitrectomy with Fovea-Sparing and Inverted ILM Flap Technique for Myopic Foveoschisis
Surgical treatment of myopic foveoschisis (MF) can result in a macular hole in 11–17% of patients that may lead to poor visual outcomes and progression to macular hole retinal detachment. We evaluated the benefit of vitrectomy to treat MF using the inverted internal limiting membrane (ILM) flap and...
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MDPI AG
2022-02-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/11/5/1274 |
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| author | Yu Wakatsuki Hiroyuki Nakashizuka Koji Tanaka Ryusaburo Mori Hiroyuki Shimada |
| author_facet | Yu Wakatsuki Hiroyuki Nakashizuka Koji Tanaka Ryusaburo Mori Hiroyuki Shimada |
| author_sort | Yu Wakatsuki |
| collection | DOAJ |
| description | Surgical treatment of myopic foveoschisis (MF) can result in a macular hole in 11–17% of patients that may lead to poor visual outcomes and progression to macular hole retinal detachment. We evaluated the benefit of vitrectomy to treat MF using the inverted internal limiting membrane (ILM) flap and fovea-sparing ILM techniques. We studied 20 eyes of 20 patients (7 men, 13 women) with high MF (mean axial length, 29.3 ± 1.7 mm). MF was classified by optical coherence tomography findings: retinoschisis (7 eyes) or foveal detachment (13 eyes). Between October 2013 and June 2021, we performed vitreous surgery in all 20 patients, employing both techniques. Air tamponade was used in 4 eyes, SF6 gas in 10 eyes, and C3F8 gas in 6 eyes. All patients stayed in the face-down position for one full day postoperatively. Visual acuity and foveal contour were analyzed using optical coherence tomography before surgery and at 3 and 6 months postoperatively. LogMAR visual acuity was 0.46 before surgery, with a significant improvement at 3 months (0.34) and at 6 months (0.2) postoperatively (<i>p</i> = 0.024, <i>p</i> < 0.001, respectively). In all patients, the foveal contour showed improvement without macular hole formation after surgery. These results show that vitrectomy, performed using the inverted ILM flap and fovea-sparing ILM technique, is effective for treating MF. |
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| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T20:34:37Z |
| publishDate | 2022-02-01 |
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| series | Journal of Clinical Medicine |
| spelling | doaj.art-09cbef68f33b4479943437d9f2a3cf2a2023-11-23T23:13:27ZengMDPI AGJournal of Clinical Medicine2077-03832022-02-01115127410.3390/jcm11051274Outcomes of Vitrectomy with Fovea-Sparing and Inverted ILM Flap Technique for Myopic FoveoschisisYu Wakatsuki0Hiroyuki Nakashizuka1Koji Tanaka2Ryusaburo Mori3Hiroyuki Shimada4Department of Ophthalmology, Nihon University School of Medicine, Tokyo 101-8309, JapanDepartment of Ophthalmology, Nihon University School of Medicine, Tokyo 101-8309, JapanDepartment of Ophthalmology, Nihon University School of Medicine, Tokyo 101-8309, JapanDepartment of Ophthalmology, Nihon University School of Medicine, Tokyo 101-8309, JapanDepartment of Ophthalmology, Nihon University School of Medicine, Tokyo 101-8309, JapanSurgical treatment of myopic foveoschisis (MF) can result in a macular hole in 11–17% of patients that may lead to poor visual outcomes and progression to macular hole retinal detachment. We evaluated the benefit of vitrectomy to treat MF using the inverted internal limiting membrane (ILM) flap and fovea-sparing ILM techniques. We studied 20 eyes of 20 patients (7 men, 13 women) with high MF (mean axial length, 29.3 ± 1.7 mm). MF was classified by optical coherence tomography findings: retinoschisis (7 eyes) or foveal detachment (13 eyes). Between October 2013 and June 2021, we performed vitreous surgery in all 20 patients, employing both techniques. Air tamponade was used in 4 eyes, SF6 gas in 10 eyes, and C3F8 gas in 6 eyes. All patients stayed in the face-down position for one full day postoperatively. Visual acuity and foveal contour were analyzed using optical coherence tomography before surgery and at 3 and 6 months postoperatively. LogMAR visual acuity was 0.46 before surgery, with a significant improvement at 3 months (0.34) and at 6 months (0.2) postoperatively (<i>p</i> = 0.024, <i>p</i> < 0.001, respectively). In all patients, the foveal contour showed improvement without macular hole formation after surgery. These results show that vitrectomy, performed using the inverted ILM flap and fovea-sparing ILM technique, is effective for treating MF.https://www.mdpi.com/2077-0383/11/5/1274myopic foveoschisisfovea-sparing ILMinverted ILM flapvitreous surgery |
| spellingShingle | Yu Wakatsuki Hiroyuki Nakashizuka Koji Tanaka Ryusaburo Mori Hiroyuki Shimada Outcomes of Vitrectomy with Fovea-Sparing and Inverted ILM Flap Technique for Myopic Foveoschisis Journal of Clinical Medicine myopic foveoschisis fovea-sparing ILM inverted ILM flap vitreous surgery |
| title | Outcomes of Vitrectomy with Fovea-Sparing and Inverted ILM Flap Technique for Myopic Foveoschisis |
| title_full | Outcomes of Vitrectomy with Fovea-Sparing and Inverted ILM Flap Technique for Myopic Foveoschisis |
| title_fullStr | Outcomes of Vitrectomy with Fovea-Sparing and Inverted ILM Flap Technique for Myopic Foveoschisis |
| title_full_unstemmed | Outcomes of Vitrectomy with Fovea-Sparing and Inverted ILM Flap Technique for Myopic Foveoschisis |
| title_short | Outcomes of Vitrectomy with Fovea-Sparing and Inverted ILM Flap Technique for Myopic Foveoschisis |
| title_sort | outcomes of vitrectomy with fovea sparing and inverted ilm flap technique for myopic foveoschisis |
| topic | myopic foveoschisis fovea-sparing ILM inverted ILM flap vitreous surgery |
| url | https://www.mdpi.com/2077-0383/11/5/1274 |
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