Pay attention to the influencing factor of vitrectomy outcome for the treatment of myopic foveoschisis
10.3760/cma.j.issn.1005-1015.2015.04.002
- VernacularTitle:关注高度近视黄斑劈裂玻璃体视网膜手术治疗效果的影响因素,努力提升手术治疗效果
- Author:
Gezhi XU
;
Zhongcui SUN
- Publication Type:Journal Article
- Keywords:
Myopia,degenerative/complication;
Retinal perforations/surgery;
Vitreoretinal surgery;
Editorial
- From:
Chinese Journal of Ocular Fundus Diseases
2015;(4):321-323
- CountryChina
- Language:Chinese
-
Abstract:
Myopic foveoschisis is a disease caused by abnormal vitreoretinal interface status and progressive posterior scleral staphyloma.Its occurrence and development are associated with centripetal traction (posterior vitreous cortex,internal limiting membrane and stiff retinal vessel)and centrifugal traction (increasing axial lengths and posterior scleral staphyloma).Currently vitrectomy is the major option to treat this condition as it can alleviate or eliminate centripetal and centrifugal traction.However as myopic foveoschisis is a life-long progressive degenerative disease,often with abnormalities in retinal pigment epithelium,choroid and sclera;the therapeutic effect of current surgical strategy (vitrectomy or scleral surgery,or combined surgery)is limited and unsatisfactory.A full assessment macular structure,function and related factors before surgery is helpful to predict the anatomical and functional prognosis.
