Analysis of phacovitrectomy with internal limiting membrane peeling to treat foveoschisis without macular hole in ultra-high myopia

• Main Authors: Zhi-Yong Wu, Yi Yao, Xin-Yi Liu, Yun-Hua Min, Zhi-Yi Chen, Li-Rong Han
• Format: Article
• Language: English
• Published: Press of International Journal of Ophthalmology (IJO PRESS) 2017-06-01
• Series: Guoji Yanke Zazhi
• Subjects: ultra-high myopia; foveoschisis; phacovitrectomy; internal limiting membrane peeling
• Online Access: http://ies.ijo.cn/cn_publish/2017/6/201706047.pdf

AIM: To analyze the results of phacovitrectomy with internal limiting membrane(ILM)peeling to treat foveoschisis in ultra-high myopia. <p>METHODS: Totally 32 eyes of 32 ultra-high myopia patients with foveoschisis were selected retrospectively. The preoperative refractive errors ranged from -12.00D to -20.00D with the mean of -15.78±2.16D. The best corrected visiual acuity(BCVA)were converted to LogMAR acuity, and the average BCVA was 4.1±0.4. Conventional phacovitrectomy with ILM peeling by ICG dying were performed. Gas tamponade were performed to end the operation. The BCVA and the foveoschisis cavity were observed by 1-9mo after the surgery, with the mean of 4.5mo. <p>RESULTS: The foveoschisis cavity of 30 eyes were healed with BCVA increased and visual distortion alleviated distinctly(94%)(<i>t</i>=-7.91, <i>P</i><0.05). <p>CONCLUSION: Phacovitrectomy with ILM peeling is useful in treating foveoschisis in ultra-high myopia with visual function preserving.