Macular and visual outcomes after cataract extraction for highly myopic foveoschisis.
OBJECTIVE
To evaluate the macular and visual changes after cataract extraction in patients with myopic foveoschisis.


METHODS
Chang Gung Memorial Hospital, Taoyuan, Taiwan.


METHODS
This retrospective study reviewed the charts of 20 eyes (14 patients) with myopic foveoschisis that had phacoemulsification. All eyes except 1 had intraocular lens implantation. The preoperative and postoperative best corrected visual acuities (BCVAs) were documented. The central foveal thickness and morphology were examined by optical coherence tomography.


RESULTS
The mean postoperative follow-up was 15.6 months+/-9.6 (SD). The mean preoperative BCVA of 1.35+/-0.65 logMAR improved to 0.47+/-0.38 logMAR 1 month after surgery (P<.001) and to 0.40+/-0.40 logMAR at 3 months (P<.001 versus preoperatively; P=.01 versus 1 month). The BCVA stabilized to a mean of 0.40+/-0.41 logMAR at 6 months and was 0.37+/-0.39 logMAR at the last visit. The mean central foveal thickness was 297+/-107 microm preoperatively, 321+/-108 microm 1 month postoperatively (P<.001), and 347+/-120 microm at 3 months (P=.001). The central foveal thickness stabilized at 6 months (mean 357+/-115 microm).


CONCLUSIONS
Visual acuity improved and central foveal thickness increased after cataract extraction in patients with myopic foveoschisis. There were no emergent macular changes.
Department of Ophthalmology, Chang Gung Memorial Hospital, Chang Gung University, Chuang, College of Medicine, Taoyuan, Taiwan. chichun.lai@gmail.com
Chi-Chun
CC
Lai
Ling
L
Yeung
Yen-Po
YP
Chen
Nan-Kai
NK
Wang
Wei-Chi
WC
Wu
Kuan-Jen
KJ
Chen
Lan-Hsin
LH
Chuang
Tun-Lu
TL
Chen
D002386:Cataract / Q000150:complications; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D019654:Lens Implantation, Intraocular; D008266:Macula Lutea / Q000503:physiopathology*; D008297:Male; D008875:Middle Aged; D047728:Myopia, Degenerative / Q000503:physiopathology*; D018918:Phacoemulsification; D011184:Postoperative Period; D041441:Retinoschisis / Q000503:physiopathology*; D012189:Retrospective Studies; D041623:Tomography, Optical Coherence; D014792:Visual Acuity / Q000502:physiology*