Treatment of pathological myopic foveoschisis by pars plana vitrectomy with fovea-sparing internal limiting membrane peeling and silicone oil tamponade
10.3980/j.issn.1672-5123.2025.8.26
- VernacularTitle:玻璃体切除联合保留中心凹的内界膜剥除及硅油填充术治疗病理性近视黄斑劈裂
- Author:
Jun ZHOU
1
;
Yingqi LI
1
;
Jing XU
1
;
Zhumin YANG
1
;
Xing HUANG
1
;
Xian WANG
1
Author Information
1. Guizhou Medical University, Guiyang 550025, Guizhou Province, China
- Publication Type:Journal Article
- Keywords:
myopic foveoschisis;
high myopia;
silicone oil tamponade;
pars plana vitrectomy;
internal limiting membrane peeling;
optical coherence tomography
- From:
International Eye Science
2025;25(8):1358-1362
- CountryChina
- Language:Chinese
-
Abstract:
AIM: To investigate the clinical efficacy of pars plana vitrectomy(PPV)combined with fovea-sparing internal limiting membrane(ILM)peeling and silicone oil(SO)tamponade for treating pathological myopic foveoschisis(PMF).METHODS:This study is a retrospective observational analysis of 10 cases(10 eyes)diagnosed with PMF that underwent PPV with fovea-sparing ILM peeling and SO tamponade between January 2023 and November 2024. The best-corrected visual acuity(BCVA), central foveal thickness(CFT), foveoschisis(FS), and the detachment and reattachment of FS and macular fovea were assessed preoperatively and at 1 wk, 1 and 3 mo postoperatively.RESULTS:Among the 10 cases of PMF patients(10 eyes), the complete reattachment rate was 30%(3 eyes), while partial reattachment was observed in 70%(7 eyes). At 3 mo postoperatively, BCVA(LogMAR)was significantly improved to 0.957±0.393 compared with 1.432±0.509 before surgery(P<0.05), and both CFT(437.9±180.4 vs. 207.5±76.1 μm)and FS(686.5±172.2 vs. 290.7±86.6 μm)showed significant decreases(P<0.05). No complications such as macular hole, retinal detachment, silicone oil emulsification, or endophthalmitis were observed during the surgery or throughout the follow-up period.CONCLUSION:PPV with SO tamponade and fovea-sparing ILM peeling has been demonstrated to facilitate both visual acuity improvement and anatomical reattachment in cases of PMF.
