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Vitrectomy with internal limiting membrane peeling and gas tamponade for myopic foveoschisis
BACKGROUND: We evaluated the effect of vitrectomy with internal limiting membrane (ILM) peeling and gas tamponade for myopic foveoschisis (MF), and analysed prognosis with different gas tamponade. METHODS: Retrospective, non-randomized study. The records of patients with MF treated by vitrectomy, we...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9097353/ https://www.ncbi.nlm.nih.gov/pubmed/35549885 http://dx.doi.org/10.1186/s12886-022-02376-0 |
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author | Zhang, Jingyi Yu, Yanping Dai, Dongshu Liu, Wu |
author_facet | Zhang, Jingyi Yu, Yanping Dai, Dongshu Liu, Wu |
author_sort | Zhang, Jingyi |
collection | PubMed |
description | BACKGROUND: We evaluated the effect of vitrectomy with internal limiting membrane (ILM) peeling and gas tamponade for myopic foveoschisis (MF), and analysed prognosis with different gas tamponade. METHODS: Retrospective, non-randomized study. The records of patients with MF treated by vitrectomy, were reviewed. Patients were followed up postoperatively mean 16.74 months, to record changes of Best-corrected visual acuity (BCVA) and central foveal thickness (CFT). RESULTS: Sixty-two eyes (59 patients) were analysed in total, with mean age of 55.29 ± 10.34 years, 49 females (83.1%). Foveoschisis completely resolved in all eyes at least 6 months post vitrectomy, except for two postoperative full-thickness macular holes (FTMH). Final BCVA improved significantly from 0.69 ± 0.39 to 0.44 ± 0.42 logMAR, and CFT from 502.47 ± 164.78 to 132.67 ± 52.26 μm. Patients were subdivided into three subgroups based on the different endotamponades used (C3F8, C2F6, and air). Baseline BCVA, baseline CFT and foveal detachment (FD) were not significantly different among the three groups. Eyes treated with air tamponade had better visual outcomes than eyes with C3F8 tamponade (P = 0.008). Baseline BCVA and FD were significant risk factors for postoperative BCVA (P < 0.001 and P = 0.013, respectively). CONCLUSIONS: Vitrectomy with ILM peeling and gas tamponade results in good functional and anatomic outcomes in the treatment of most MF. Good vision and no-FD pre-surgery are related with good visual prognosis. Air tamponade can provide as good visual recovery as expansive gas, and reduce postoperative complications. |
format | Online Article Text |
id | pubmed-9097353 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-90973532022-05-13 Vitrectomy with internal limiting membrane peeling and gas tamponade for myopic foveoschisis Zhang, Jingyi Yu, Yanping Dai, Dongshu Liu, Wu BMC Ophthalmol Research Article BACKGROUND: We evaluated the effect of vitrectomy with internal limiting membrane (ILM) peeling and gas tamponade for myopic foveoschisis (MF), and analysed prognosis with different gas tamponade. METHODS: Retrospective, non-randomized study. The records of patients with MF treated by vitrectomy, were reviewed. Patients were followed up postoperatively mean 16.74 months, to record changes of Best-corrected visual acuity (BCVA) and central foveal thickness (CFT). RESULTS: Sixty-two eyes (59 patients) were analysed in total, with mean age of 55.29 ± 10.34 years, 49 females (83.1%). Foveoschisis completely resolved in all eyes at least 6 months post vitrectomy, except for two postoperative full-thickness macular holes (FTMH). Final BCVA improved significantly from 0.69 ± 0.39 to 0.44 ± 0.42 logMAR, and CFT from 502.47 ± 164.78 to 132.67 ± 52.26 μm. Patients were subdivided into three subgroups based on the different endotamponades used (C3F8, C2F6, and air). Baseline BCVA, baseline CFT and foveal detachment (FD) were not significantly different among the three groups. Eyes treated with air tamponade had better visual outcomes than eyes with C3F8 tamponade (P = 0.008). Baseline BCVA and FD were significant risk factors for postoperative BCVA (P < 0.001 and P = 0.013, respectively). CONCLUSIONS: Vitrectomy with ILM peeling and gas tamponade results in good functional and anatomic outcomes in the treatment of most MF. Good vision and no-FD pre-surgery are related with good visual prognosis. Air tamponade can provide as good visual recovery as expansive gas, and reduce postoperative complications. BioMed Central 2022-05-12 /pmc/articles/PMC9097353/ /pubmed/35549885 http://dx.doi.org/10.1186/s12886-022-02376-0 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Zhang, Jingyi Yu, Yanping Dai, Dongshu Liu, Wu Vitrectomy with internal limiting membrane peeling and gas tamponade for myopic foveoschisis |
title | Vitrectomy with internal limiting membrane peeling and gas tamponade for myopic foveoschisis |
title_full | Vitrectomy with internal limiting membrane peeling and gas tamponade for myopic foveoschisis |
title_fullStr | Vitrectomy with internal limiting membrane peeling and gas tamponade for myopic foveoschisis |
title_full_unstemmed | Vitrectomy with internal limiting membrane peeling and gas tamponade for myopic foveoschisis |
title_short | Vitrectomy with internal limiting membrane peeling and gas tamponade for myopic foveoschisis |
title_sort | vitrectomy with internal limiting membrane peeling and gas tamponade for myopic foveoschisis |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9097353/ https://www.ncbi.nlm.nih.gov/pubmed/35549885 http://dx.doi.org/10.1186/s12886-022-02376-0 |
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