Pay attention to the influencing factor of vitrectomy outcome for the treatment of myopic foveoschisis_Chinese Journal of Ocular Fundus Diseases

Authors：

 XuGezhi , SunZhongcui

School of Ophthalmology and Optometry, Wenzhou Medical College, Wenzhou 325027, China;

Corresponding author：

XuGezhi, Email: drxugezhi@163.com

Keywords：

Myopia, degenerative/complication; Retinal perforations/surgery; Vitreoretinal surgery; Editorial

DOI：

10.3760/cma.j.issn.1005-1015.2015.04.002

Video：

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Abstract Full text Figures/Tables Video References Cited by

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.

Citation： XuGezhi, SunZhongcui. Pay attention to the influencing factor of vitrectomy outcome for the treatment of myopic foveoschisis. Chinese Journal of Ocular Fundus Diseases, 2015, 31(4): 321-323. doi: 10.3760/cma.j.issn.1005-1015.2015.04.002 Copy

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2.	Kiernan DF, Mieler WF, Hariprasad SM. Spectral-domain optical coherence tomography: a comparison of modern high-resolution retinal imaging systems[J]. Am J Ophthalmol,2010,149(1):18-31.
3.	Bando H, Ikuno Y, Choi JS, et al. Ultrastructure of internal limiting membrane in myopic foveoschisis[J]. Am J Ophthalmol,2005,139(1):197-199.
4.	Ikuno Y, Gomi F, Tano Y. Potent retinal arteriolar traction as a possible cause of myopic foveoschisis[J]. Am J Ophthalmol,2005,139(3):462-467.
5.	Gohil R, Sivaprasad S, Han LT, et al. Myopic foveoschisis: a clinical review[J]. Eye (Lond), 2015,29(5):593-601.
6.	Kuriyama S, Matsumura M, Harada T, et al. Surgical techniques and reattachment rates in retinal detachment due to macular hole[J]. Arch Ophthalmol, 1990,108(11):1559-1561.
7.	Mateo C, Bures-Jelstrup A, Navarro R,et al. Macular buckling for eyes with myopic foveoschisis secondary to posterior staphyloma[J]. Retina, 2012,32(6):1121-1128.
8.	Kobayashi H, Kishi S. Vitreous surgery for highly myopic eyes with foveal detachment and retinoschisis[J]. Ophthalmology,2003,110(9):1702-1707.
9.	Ho TC, Chen MS, Huang JS, et al. Foveola nonpeeling technique in internal limiting membrane peeling of myopic foveoschisis surgery[J]. Retina, 2012,32(3):631-634.
10.	Miura M, Iwasaki T, Goto H. Macular hole formation after intravitreal bevacizumab administration in a patient with myopic choroidal neovascularization[J]. Retin Cases Brief Rep,2011,5(2):149-152.
11.	Otsuka K, Imai H, Shimoyama T, et al. Recurrence of macular hole retinal detachment after intravitreal ranibizumab injection for the treatment of choroidal neovascularization from the remaining macular hole edge[J]. Case Rep Ophthalmol,2012,3(3):424-427.
12.	Shimada N, Ohno-Matsui K, Hayashi K, et al. Macular detachment after successful intravitreal bevacizumab for myopic choroidal neovascularization[J]. Jpn J Ophthalmol,2011,55(4):378-382.
13.	Shimada N, Ohno-Matsui K, Yoshida T, et al. Development of macular hole and macular retinoschisis in eyes with myopic choroidal neovascularization[J]. Am J Ophthalmol,2008,145(1):155-161.

1. Takano M, Kishi S. Foveal retinoschisis and retinal detachment in severely myopic eyes with posterior staphyloma[J]. Am J Ophthalmol,1999,128(4):472-476.
2. Kiernan DF, Mieler WF, Hariprasad SM. Spectral-domain optical coherence tomography: a comparison of modern high-resolution retinal imaging systems[J]. Am J Ophthalmol,2010,149(1):18-31.
3. Bando H, Ikuno Y, Choi JS, et al. Ultrastructure of internal limiting membrane in myopic foveoschisis[J]. Am J Ophthalmol,2005,139(1):197-199.
4. Ikuno Y, Gomi F, Tano Y. Potent retinal arteriolar traction as a possible cause of myopic foveoschisis[J]. Am J Ophthalmol,2005,139(3):462-467.
5. Gohil R, Sivaprasad S, Han LT, et al. Myopic foveoschisis: a clinical review[J]. Eye (Lond), 2015,29(5):593-601.
6. Kuriyama S, Matsumura M, Harada T, et al. Surgical techniques and reattachment rates in retinal detachment due to macular hole[J]. Arch Ophthalmol, 1990,108(11):1559-1561.
7. Mateo C, Bures-Jelstrup A, Navarro R,et al. Macular buckling for eyes with myopic foveoschisis secondary to posterior staphyloma[J]. Retina, 2012,32(6):1121-1128.
8. Kobayashi H, Kishi S. Vitreous surgery for highly myopic eyes with foveal detachment and retinoschisis[J]. Ophthalmology,2003,110(9):1702-1707.
9. Ho TC, Chen MS, Huang JS, et al. Foveola nonpeeling technique in internal limiting membrane peeling of myopic foveoschisis surgery[J]. Retina, 2012,32(3):631-634.
10. Miura M, Iwasaki T, Goto H. Macular hole formation after intravitreal bevacizumab administration in a patient with myopic choroidal neovascularization[J]. Retin Cases Brief Rep,2011,5(2):149-152.
11. Otsuka K, Imai H, Shimoyama T, et al. Recurrence of macular hole retinal detachment after intravitreal ranibizumab injection for the treatment of choroidal neovascularization from the remaining macular hole edge[J]. Case Rep Ophthalmol,2012,3(3):424-427.
12. Shimada N, Ohno-Matsui K, Hayashi K, et al. Macular detachment after successful intravitreal bevacizumab for myopic choroidal neovascularization[J]. Jpn J Ophthalmol,2011,55(4):378-382.
13. Shimada N, Ohno-Matsui K, Yoshida T, et al. Development of macular hole and macular retinoschisis in eyes with myopic choroidal neovascularization[J]. Am J Ophthalmol,2008,145(1):155-161.

Chinese Journal of Ocular Fundus Diseases

Pay attention to the influencing factor of vitrectomy outcome for the treatment of myopic foveoschisis

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