scholarly journals Posterior scleral reinforcement combined with vitrectomy for myopic foveoschisis

Retina ◽  
2015 ◽  
Vol 35 (2) ◽  
pp. 351-357 ◽  
Author(s):  
Yue Qi ◽  
An Li Duan ◽  
Qi Sheng You ◽  
Jost B. Jonas ◽  
Ningli Wang

2021 ◽  
Author(s):  
Qing He ◽  
Xiu Wang ◽  
Caiyuan Xie ◽  
Anquan Xue ◽  
Ruihua Wei

Abstract Background: This study aimed to investigate the clinical effectiveness of posterior scleral reinforcement for the treatment of myopic foveoschisis.Methods: This was a prospective study of 32 eyes from 20 patients with myopic foveoschisis treated with posterior scleral reinforcement using genipin-cross-linked donor sclerae . The length of the scleral strip used for the surgery was designed to be 1.5-times the axial length of the eye, whereas its width was 0.4-times the axial length of the eye. The optical coherence tomography images, spherical equivalent of refractive error, axial length, best corrected visual acuity, electroretinogram findings, and intraocular pressure of the patients were assessed postoperatively. Results: The mean duration of follow-up was 17.80 ± 8.74 months. The differences between the spherical equivalent of refractive error, best corrected visual acuity, axial length, and electroretinogram findings recorded preoperatively and those measured postoperatively were statistically significant (p<0.05). The final reduction in axial length was 1.64 ± 0.85 mm. At the end of the follow-up, optical coherence tomography showed essential foveal reattachment in 30 eyes (93.75%), partial reattachment in two eyes (6.25%), and closure of macular holes in seven eyes (77.78%). No retinal detachment, vitreous haemorrhage, or other serious complications occurred following the surgery. Conclusions: Posterior scleral reinforcement with genipin-cross-linked sclera showed safe and effective outcomes for the treatment of myopic foveoschisis during a follow-up period of at least one yearTrial registration:ChiCTR1800020012


Retina ◽  
2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Antonio García-Ben ◽  
Isabel Baquero-Aranda ◽  
Ignacio García-Basterra ◽  
José Manuel García-Campos

2011 ◽  
Vol 39 (2) ◽  
pp. 662-666 ◽  
Author(s):  
Xueying Ji ◽  
Jinguo Wang ◽  
Jinsong Zhang ◽  
Hongliang Sun ◽  
Xiyu Jia ◽  
...  

2021 ◽  
Vol 8 ◽  
Author(s):  
Zheng Zhang ◽  
Yue Qi ◽  
Wenbin Wei ◽  
Zi-Bing Jin ◽  
Wen Wang ◽  
...  

Purpose: This work aimed to study the effect of posterior scleral reinforcement (PSR) on choroidal thickness (CT) and blood flow.Methods: This study included 25 eyes of 24 patients with high myopia ( ≤ -6.0 dioptres or axial length ≥ 26.0 mm) who underwent PSR surgery. All patients completed the 1-month follow-up visit. Myopic macular degeneration (MMD) was graded according to the International Meta-Analysis for Pathologic Myopia (META-PM) classification based on color fundus photographs. Swept-source optical coherence tomography angiography (SSOCTA) was performed to investigate CT, choroidal perfusion area (CPA), and choriocapillaris perfusion area (CCPA) change following PSR surgery.Results: The distribution of MMD categories was 9 (36.0%) in category 1, 10 (40.0%) in category 2, and 6 (24.0%) in category 3 or 4. MMD severity was strongly correlated with CT (all P < 0.01) and CPA (all P < 0.04). Postoperative CT at each sector increased significantly at 1 week's follow-up, compared to preoperative measures (all P < 0.05). Postoperative CPA at subfoveal, superior, inferior, and nasal sectors also increased significantly 1 week after PSR surgery (all P < 0.05). Moreover, the increased CT, CPA, and CCPA remain after PSR surgery at 1 month's follow-up, but the difference was not statistically significant.Conclusions: We demonstrated that the CT and choroidal blood flow increased significantly in patients with high myopia who underwent PSR surgery in a short period of time. In addition, the CT and CPA were independently associated with MMD. However, whether the transient improvement of the choroidal circulation could prevent long-term progression of high myopia warrants further study in the future.


Eye ◽  
2014 ◽  
Vol 28 (12) ◽  
pp. 1519-1520 ◽  
Author(s):  
Y M Paulus ◽  
N M Bressler

2018 ◽  
Vol 44 (1) ◽  
pp. 76-81
Author(s):  
Qingchen Li ◽  
Hao Wang ◽  
Peng Gao

Sign in / Sign up

Export Citation Format

Share Document