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Surgical Outcomes of Myopic Foveoschisis According to the ATN Classification System

INTRODUCTION: This study compared the surgical outcomes in eyes with myopic foveoschisis (MF) according to the recently developed ATN classification system. METHODS: This was an observational case series of 64 consecutive eyes that underwent vitrectomy for MF. Eyes were classified into severe myopic...

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Autores principales: Fang, Dong, Liang, Jia, Chen, Sheng, Huang, Canfeng, Li, Kunke, Mao, Xingxing, Hou, Xiaofeng, Xie, Ting, Wei, Pengxue, Chen, Lu, Zhang, Shaochong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Healthcare 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9834482/
https://www.ncbi.nlm.nih.gov/pubmed/36227418
http://dx.doi.org/10.1007/s40123-022-00582-z
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author Fang, Dong
Liang, Jia
Chen, Sheng
Huang, Canfeng
Li, Kunke
Mao, Xingxing
Hou, Xiaofeng
Xie, Ting
Wei, Pengxue
Chen, Lu
Zhang, Shaochong
author_facet Fang, Dong
Liang, Jia
Chen, Sheng
Huang, Canfeng
Li, Kunke
Mao, Xingxing
Hou, Xiaofeng
Xie, Ting
Wei, Pengxue
Chen, Lu
Zhang, Shaochong
author_sort Fang, Dong
collection PubMed
description INTRODUCTION: This study compared the surgical outcomes in eyes with myopic foveoschisis (MF) according to the recently developed ATN classification system. METHODS: This was an observational case series of 64 consecutive eyes that underwent vitrectomy for MF. Eyes were classified into severe myopic maculopathy (MM) (n = 43) and non-severe MM (n = 21) groups according to the ATN classification system. The primary outcome measures constituted best-corrected visual acuity (BCVA) and anatomical changes. RESULTS: In total, BCVA improved from 0.97 to 0.53 (P < 0.001) after surgery. The ATN score was significantly lower in the eyes with vision improvement than those without vision improvement (P < 0.001). In the subgroup, BCVA improved from 0.79 to 0.28 in the non-severe MM group (P < 0.001), and improved from 1.05 to 0.65 in the severe MM group (P = 0.001) after surgery. The non-severe MM group achieved better postoperative BCVA (P = 0.001) and were more likely to gain vision improvement (P < 0.001) after surgery compared with the severe MM group. Anatomical success was achieved in 62 of the 64 eyes (96.88%). Two eyes with anatomical failure developed full-thickness macular holes postoperatively; both were in the severe MM group. CONCLUSIONS: For patients with MF, different severity of MM based on ATN classification could lead to a significantly different prognosis after surgery. For patients with high ATN scores, the operative decision should be made cautiously for the worse anatomical and visual prognosis. ATN system is instructive in making operative proposals for MF.
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spelling pubmed-98344822023-01-13 Surgical Outcomes of Myopic Foveoschisis According to the ATN Classification System Fang, Dong Liang, Jia Chen, Sheng Huang, Canfeng Li, Kunke Mao, Xingxing Hou, Xiaofeng Xie, Ting Wei, Pengxue Chen, Lu Zhang, Shaochong Ophthalmol Ther Original Research INTRODUCTION: This study compared the surgical outcomes in eyes with myopic foveoschisis (MF) according to the recently developed ATN classification system. METHODS: This was an observational case series of 64 consecutive eyes that underwent vitrectomy for MF. Eyes were classified into severe myopic maculopathy (MM) (n = 43) and non-severe MM (n = 21) groups according to the ATN classification system. The primary outcome measures constituted best-corrected visual acuity (BCVA) and anatomical changes. RESULTS: In total, BCVA improved from 0.97 to 0.53 (P < 0.001) after surgery. The ATN score was significantly lower in the eyes with vision improvement than those without vision improvement (P < 0.001). In the subgroup, BCVA improved from 0.79 to 0.28 in the non-severe MM group (P < 0.001), and improved from 1.05 to 0.65 in the severe MM group (P = 0.001) after surgery. The non-severe MM group achieved better postoperative BCVA (P = 0.001) and were more likely to gain vision improvement (P < 0.001) after surgery compared with the severe MM group. Anatomical success was achieved in 62 of the 64 eyes (96.88%). Two eyes with anatomical failure developed full-thickness macular holes postoperatively; both were in the severe MM group. CONCLUSIONS: For patients with MF, different severity of MM based on ATN classification could lead to a significantly different prognosis after surgery. For patients with high ATN scores, the operative decision should be made cautiously for the worse anatomical and visual prognosis. ATN system is instructive in making operative proposals for MF. Springer Healthcare 2022-10-13 2023-02 /pmc/articles/PMC9834482/ /pubmed/36227418 http://dx.doi.org/10.1007/s40123-022-00582-z Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc/4.0/Open AccessThis article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, which permits any non-commercial 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-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Original Research
Fang, Dong
Liang, Jia
Chen, Sheng
Huang, Canfeng
Li, Kunke
Mao, Xingxing
Hou, Xiaofeng
Xie, Ting
Wei, Pengxue
Chen, Lu
Zhang, Shaochong
Surgical Outcomes of Myopic Foveoschisis According to the ATN Classification System
title Surgical Outcomes of Myopic Foveoschisis According to the ATN Classification System
title_full Surgical Outcomes of Myopic Foveoschisis According to the ATN Classification System
title_fullStr Surgical Outcomes of Myopic Foveoschisis According to the ATN Classification System
title_full_unstemmed Surgical Outcomes of Myopic Foveoschisis According to the ATN Classification System
title_short Surgical Outcomes of Myopic Foveoschisis According to the ATN Classification System
title_sort surgical outcomes of myopic foveoschisis according to the atn classification system
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9834482/
https://www.ncbi.nlm.nih.gov/pubmed/36227418
http://dx.doi.org/10.1007/s40123-022-00582-z
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