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Reoperation for persistent myopic foveoschisis after primary vitrectomy
Kaori Sayanagi1, Yasushi Ikuno, Yasuo Tano
1Department of Ophthalmology, Osaka University Medical School, Room E7, 2-2 Yamadaoka, Suita 565-0871, Osaka, Japan. sayapon@aol.com
American Journal of Ophthalmology
|February 7, 2006
Summary
Reoperation for persistent myopic foveoschisis (MF) involving internal limiting membrane (ILM) peeling improved vision. Complete vitreous cortex removal and ILM peeling are crucial for successful MF treatment.
Area of Science:
- Ophthalmology
- Retinal Surgery
Background:
- Persistent myopic foveoschisis (MF) can occur after initial surgery.
- Internal limiting membrane (ILM) peeling is not always performed in primary vitrectomy for MF.
Observation:
- Two cases of persistent MF were reoperated.
- Reoperation involved pars plana vitrectomy, vitreous cortex removal, ILM peeling, and gas tamponade.
Findings:
- Successful foveal reattachment was achieved in both eyes.
- Best-corrected visual acuity (BCVA) improved post-reoperation.
Implications:
- Reoperation with ILM peeling may be beneficial for persistent MF.
- Vitreous cortex removal and ILM peeling are critical surgical steps for treating MF.
