Vitrectomy for macular holes associated with myopic foveoschisis.

Ikuno, Yasushi; Tano, Yasuo · Am J Ophthalmol · 2006

case_series · Level IV

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Abstract

We reviewed the surgical results of vitrectomy for macular holes (MHs) associated with myopic foveoschisis (MF). Noncomparative, interventional case series. setting: Institutional. participants: Eight eyes of eight patients with MHs associated with MF. intervention procedure: All patients underwent vitrectomy, internal limiting membrane peeling, and gas tamponade. main outcome measures: Slit-lamp-based biomicroscopy, optical coherence tomography examinations, and best-corrected visual acuity (BCVA) measurement. The MHs closed in two eyes (25%), and the BCVA improved more than 2 lines in three (37.5%) eyes, remained unchanged in three (37.5%), and worsened in two (25%). The MH size increased significantly in a case with an unresolved MH (P < .05). The postoperative BCVA was significantly correlated with the preoperative BCVA (P < .05). Although significant visual improvement occurs in less than 50% of cases, vitrectomy can be beneficial for some cases.

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