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Microincision vitrectomy with ILM peeling yields good results for myopic foveoschisis
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.