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2017 ; 17
(1
): 166
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Internal limiting membrane peeling and gas tamponade for myopic foveoschisis: a
systematic review and meta-analysis
#MMPMID28886700
Meng B
; Zhao L
; Yin Y
; Li H
; Wang X
; Yang X
; You R
; Wang J
; Zhang Y
; Wang H
; Du R
; Wang N
; Zhan S
; Wang Y
BMC Ophthalmol
2017[Sep]; 17
(1
): 166
PMID28886700
show ga
BACKGROUND: Myopic foveoschisis (MF) is among the leading causes of visual loss
in high myopia. However, it remains controversial whether internal limiting
membrane (ILM) peeling or gas tamponade is necessary treatment option for MF.
METHODS: PubMed, EMBASE, CBM, CNKI, WANFANG DATA and VIP databases were
systematically reviewed. Outcome indicators were myopic foveoschisis resolution
rate, visual acuity improvement and postoperative complications. RESULTS: Nine
studies that included 239 eyes were selected. The proportion of resolution of
foveoschisis was higher in ILM peeling group than non-ILM peeling group
(OR = 2.15, 95% CI: 1.06-4.35; P = 0.03). The proportion of postoperative
complications was higher in Tamponade group than non-Tamponade group (OR = 10.81,
95% CI: 1.26-93.02; P = 0.03). However, the proportion of visual acuity
improvement (OR = 1.63, 95% CI: 0.56-4.80; P = 0.37) between ILM peeling group
and non-ILM peeling group and the proportion of resolution of foveoschisis
(OR = 1.80, 95% CI: 0.76-4.28; P = 0.18) between Tamponade group and
non-Tamponade group were similar. CONCLUSIONS: Vitrectomy with internal limiting
membrane peeling could contribute to better resolution of myopic foveoschisis
than non-peeling, however it does not significantly influence the proportion of
visual acuity improvement and postoperative complications. Vitrectomy with gas
tamponade is associated with more complications than non-tamponade and does not
significantly influence the proportion of visual acuity improvement and
resolution of myopic foveoschisis.