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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Int+J+Ophthalmol
2017 ; 10
(9
): 1392-1395
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Long-term outcome of highly myopic foveoschisis treated by vitrectomy with or
without gas tamponade
#MMPMID28944198
Yun LN
; Xing YQ
Int J Ophthalmol
2017[]; 10
(9
): 1392-1395
PMID28944198
show ga
AIM: To evaluate the long-term safety and efficacy of vitrectomy and internal
limiting membrane (ILM) peeling with or without gas tamponade for highly myopic
foveoschisis. METHODS: We performed an open-label, observer-blinded clinical
trial of 85 patients with myopic foveoschisis between 2000 and 2012. Patients
were randomly allocated to one of two groups, those who received vitrectomy and
ILM peeling without gas tamponade (no-gas group) or those who with gas tamponade
(gas group) and follow up at least 5y. RESULTS: Visual acuity of gas group
improved from 0.82±0.33 to 0.79±0.73 in 6mo, improved to 0.71±0.67 in 1y and
within this range in the following 4y. Visual acuity of no-gas group improved
from 0.81±0.46 to 0.78±0.66 in 6mo, improved to 0.70±0.65 in 1y. The finial
visual acuity of two groups were significantly increased compared with the
baseline (P<0.05). The visual acuity was improved in 35 of 40 eyes (87.5%) in gas
group and 29 of 33 eyes (87.9%) in no-gas group, while there were no significant
differences between gas group and no-gas group in the visual acuity. The
foveoschisis on optical coherence tomography (OCT) completely resolved in 5 of 40
eyes in 1mo, 14 eyes in 6mo and 40 eyes in 1y in the gas group. While the
foveoschisis completely resolved in 4 of 33 eyes in 1mo, 10 eyes in 6mo and 33
eyes in 1y in the no-gas group. CONCLUSION: Vitrectomy and ILM peeling without
gas tamponade appears to be as effective in the treatment of myopic foveoschisis
as vitrectomy and ILM with gas tamponade. However, eyes treated with no-gas
tamponade showed more rapid resolution of myopic foveoschisis.
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