Vitrectomy without internal limiting membrane peeling for macular retinoschisis and foveal detachment in highly myopic eyes.
OBJECTIVE
To report the surgical outcome of pars plana vitrectomy (PPV) without internal limiting membrane (ILM) peeling in three highly myopic patients with macular retinoschisis and associated posterior staphyloma.


METHODS
We report three highly myopic patients with macular retinoschisis and foveal detachment who underwent simple PPV without ILM peeling, with long-acting gas tamponade. Main outcome evaluations included best corrected visual acuity, biomicroscopic appearance and optical coherence tomography findings.


RESULTS
Pars plana vitrectomy without ILM peeling resulted in anatomic and functional improvement in all three operated eyes for follow-up periods of > or = 12 months.


CONCLUSIONS
Pars plana vitrectomy without ILM peeling is effective for treating macular retinoschisis and foveal detachment in highly myopic eyes with posterior staphyloma. Visual and anatomic outcomes are comparable with those in previous studies in which ILM removal was performed.
Department of Ophthalmology, Mackay Memorial Hospital, Taipei, Taiwan.
Shu-I
SI
Yeh
Wei-Chun
WC
Chang
Lee-Jen
LJ
Chen
D003316:Corneal Diseases / Q000150:complications / Q000175:diagnosis; D019773:Epiretinal Membrane / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D005584:Fovea Centralis; D005654:Fundus Oculi; D006801:Humans; D008266:Macula Lutea; D008297:Male; D008875:Middle Aged; D009216:Myopia / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D009887:Ophthalmoscopy; D012163:Retinal Detachment / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D041441:Retinoschisis / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D041623:Tomography, Optical Coherence; D016896:Treatment Outcome; D014792:Visual Acuity; D014821:Vitrectomy / Q000379:methods*