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2014 ; 34
(9
): 1841-7
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Late recurrence of myopic foveoschisis after successful repair with primary
vitrectomy and incomplete membrane peeling
#MMPMID24743643
Sepúlveda G
; Chang S
; Freund KB
; Park S
; Hoang QV
Retina
2014[Sep]; 34
(9
): 1841-7
PMID24743643
show ga
PURPOSE: To report three cases of late recurrence of myopic foveoschisis (MF)
after initial successful repair with pars plana vitrectomy and membrane peeling
to assess the importance of internal limiting membrane peeling. METHODS: A
retrospective noncomparative case series was performed of patients who underwent
a primary pars plana vitrectomy by a single surgeon with successful resolution of
MF, but eventually underwent repeat pars plana vitrectomy for recurrent MF.
Best-corrected visual acuity, fundus photography, and optical coherence
tomography were obtained at each examination. RESULTS: Three eyes of three
patients underwent pars plana vitrectomy for recurrent MF. Myopic foveoschisis
recurrence occurred 6, 3.5, and 12 years after the primary vitrectomy,
respectively. Repeat vitrectomy with staining and additional peeling of the
internal limiting membrane resulted in good anatomical outcome and stabilization
of visual acuity in all cases. CONCLUSION: Late recurrence of MF after successful
primary vitrectomy is described. Fibrocellular proliferation on residual cortical
vitreous or incomplete internal limiting membrane peeling during the initial
vitrectomy may underlie recurrence.