Favorable anatomic and visual outcomes with 25-gauge vitrectomy for myopic foveoschisis

Mei Mii, Masato Matsuoka, Kayako Matsuyama, Yayoi Otsu, Tetsuya Nishimura Department of Ophthalmology, Kansai Medical University, Takii Hospital, Osaka, Japan Purpose: To report the surgical outcomes of 25-gauge vitrectomy in eyes with myopic foveoschisis (MF). Methods: The medical records of 40...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Mii M, Matsuoka M, Matsuyama K, Otsu Y, Nishimura T
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/cd0cbbaf227542e094d634aae56f6cd4
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:cd0cbbaf227542e094d634aae56f6cd4
record_format	dspace
spelling	oai:doaj.org-article:cd0cbbaf227542e094d634aae56f6cd42021-12-02T05:31:02ZFavorable anatomic and visual outcomes with 25-gauge vitrectomy for myopic foveoschisis1177-5483https://doaj.org/article/cd0cbbaf227542e094d634aae56f6cd42014-09-01T00:00:00Zhttp://www.dovepress.com/favorable-anatomic-and-visual-outcomes-with-25-gauge-vitrectomy-for-my-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483 Mei Mii, Masato Matsuoka, Kayako Matsuyama, Yayoi Otsu, Tetsuya Nishimura Department of Ophthalmology, Kansai Medical University, Takii Hospital, Osaka, Japan Purpose: To report the surgical outcomes of 25-gauge vitrectomy in eyes with myopic foveoschisis (MF). Methods: The medical records of 40 eyes of 36 patients that had undergone 25-gauge vitrectomy with internal limiting membrane peeling for MF were studied. The main outcome measures were the best-corrected visual acuity (BCVA) and the optical coherence tomography (OCT) findings. The eyes were divided into two groups: 1) those with a foveal detachment (FD; FD group); and 2) those without a FD (no-FD group). Results: The postoperative OCT images showed a resolution of the MF with a significant reduction in the central foveal thickness from the preoperative values in both the FD group (479±150 µm to 196±56 µm; P=0.002, mean ± standard deviation) and in the no-FD group (369±116 µm to 245±50 µm; P=0.001). The final mean BCVA significantly improved from the preoperative values in the FD group (0.96±0.53 logarithm of the minimum angle of resolution [logMAR] units to 0.70±0.56 logMAR units; P=0.009) and in the no-FD group (0.46±0.38 logMAR units to 0.34±0.36 logMAR units; P=0.007). The final BCVA in the FD group improved in 63%, remained unchanged in 31%, and worsened in 6%. In the no-FD group, the final BCVA improved in 21%, remained unchanged in 71%, and worsened in 8% of the eyes. A better final BCVA was significantly correlated with a better preoperative BCVA in both groups (P<0.001). Conclusion: Twenty five-gauge vitrectomy results in favorable visual and anatomic outcomes for MF. We recommend that 25-gauge vitrectomy be used to treat eyes with MF. Keywords: myopic foveoschisis, 25-gauge vitrectomy, high myopia, internal limiting membrane, gas tamponadeMii MMatsuoka MMatsuyama KOtsu YNishimura TDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2014, Iss default, Pp 1837-1844 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Mii M Matsuoka M Matsuyama K Otsu Y Nishimura T Favorable anatomic and visual outcomes with 25-gauge vitrectomy for myopic foveoschisis
description	Mei Mii, Masato Matsuoka, Kayako Matsuyama, Yayoi Otsu, Tetsuya Nishimura Department of Ophthalmology, Kansai Medical University, Takii Hospital, Osaka, Japan Purpose: To report the surgical outcomes of 25-gauge vitrectomy in eyes with myopic foveoschisis (MF). Methods: The medical records of 40 eyes of 36 patients that had undergone 25-gauge vitrectomy with internal limiting membrane peeling for MF were studied. The main outcome measures were the best-corrected visual acuity (BCVA) and the optical coherence tomography (OCT) findings. The eyes were divided into two groups: 1) those with a foveal detachment (FD; FD group); and 2) those without a FD (no-FD group). Results: The postoperative OCT images showed a resolution of the MF with a significant reduction in the central foveal thickness from the preoperative values in both the FD group (479±150 µm to 196±56 µm; P=0.002, mean ± standard deviation) and in the no-FD group (369±116 µm to 245±50 µm; P=0.001). The final mean BCVA significantly improved from the preoperative values in the FD group (0.96±0.53 logarithm of the minimum angle of resolution [logMAR] units to 0.70±0.56 logMAR units; P=0.009) and in the no-FD group (0.46±0.38 logMAR units to 0.34±0.36 logMAR units; P=0.007). The final BCVA in the FD group improved in 63%, remained unchanged in 31%, and worsened in 6%. In the no-FD group, the final BCVA improved in 21%, remained unchanged in 71%, and worsened in 8% of the eyes. A better final BCVA was significantly correlated with a better preoperative BCVA in both groups (P<0.001). Conclusion: Twenty five-gauge vitrectomy results in favorable visual and anatomic outcomes for MF. We recommend that 25-gauge vitrectomy be used to treat eyes with MF. Keywords: myopic foveoschisis, 25-gauge vitrectomy, high myopia, internal limiting membrane, gas tamponade
format	article
author	Mii M Matsuoka M Matsuyama K Otsu Y Nishimura T
author_facet	Mii M Matsuoka M Matsuyama K Otsu Y Nishimura T
author_sort	Mii M
title	Favorable anatomic and visual outcomes with 25-gauge vitrectomy for myopic foveoschisis
title_short	Favorable anatomic and visual outcomes with 25-gauge vitrectomy for myopic foveoschisis
title_full	Favorable anatomic and visual outcomes with 25-gauge vitrectomy for myopic foveoschisis
title_fullStr	Favorable anatomic and visual outcomes with 25-gauge vitrectomy for myopic foveoschisis
title_full_unstemmed	Favorable anatomic and visual outcomes with 25-gauge vitrectomy for myopic foveoschisis
title_sort	favorable anatomic and visual outcomes with 25-gauge vitrectomy for myopic foveoschisis
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/cd0cbbaf227542e094d634aae56f6cd4
work_keys_str_mv	AT miim favorableanatomicandvisualoutcomeswith25gaugevitrectomyformyopicfoveoschisis AT matsuokam favorableanatomicandvisualoutcomeswith25gaugevitrectomyformyopicfoveoschisis AT matsuyamak favorableanatomicandvisualoutcomeswith25gaugevitrectomyformyopicfoveoschisis AT otsuy favorableanatomicandvisualoutcomeswith25gaugevitrectomyformyopicfoveoschisis AT nishimurat favorableanatomicandvisualoutcomeswith25gaugevitrectomyformyopicfoveoschisis
_version_	1718400377307529216

Favorable anatomic and visual outcomes with 25-gauge vitrectomy for myopic foveoschisis

Ejemplares similares