title: Vitrectomy for myopic foveoschisis with internal limiting membrane peeling and no gas tamponade.
abstract: OBJECTIVE
  To evaluate the outcome of vitrectomy with internal limiting membrane peeling and no gas tamponade in the treatment of eyes with myopic foveoschisis.
  
  
  METHODS
  Medical records of 10 eyes of 9 consecutive patients with myopic foveoschisis without macular hole treated by vitrectomy were reviewed.
  
  
  RESULTS
  The patients' refractive error was -4.00 diopters to -34.00 diopters, and axial length was 28.38 mm to 35.90 mm. Six eyes had foveal retinal detachment with retinoschisis. All cases were treated by vitrectomy with internal limiting membrane removal without gas tamponade. The mean preoperative best-corrected visual acuity was 0.61 ± 0.42 in logarithm of the minimum angle of resolution units (Snellen equivalent of 20/82). Myopic foveoschisis was reduced in 8 eyes (80%) with a single surgery. Two eyes without improvement developed a postoperative macular hole and were treated by additional vitreoretinal surgery. All 10 eyes showed anatomical repair, and 5 eyes showed improvement in best-corrected visual acuity to 0.47 ± 0.48 (Snellen equivalent of 20/60), by 17 months after the initial surgery.
  
  
  CONCLUSIONS
  Vitrectomy with internal limiting membrane peeling and no gas tamponade can effectively treat some cases of myopic foveoschisis, suggesting that tractional forces at the vitreoretinal interface may contribute to the pathogenesis of myopic foveoschisis, thereby avoiding gas tamponade.
authors.affiliation: Department of Ophthalmology, Keio University School of Medicine, Shinjuku-ku, Tokyo, Japan.
authors.forename: Atsuro
authors.initials: A
authors.lastname: Uchida
authors.forename: Hajime
authors.initials: H
authors.lastname: Shinoda
authors.forename: Takashi
authors.initials: T
authors.lastname: Koto
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Mochimaru
authors.forename: Norihiro
authors.initials: N
authors.lastname: Nagai
authors.forename: Kazuo
authors.initials: K
authors.lastname: Tsubota
authors.forename: Yoko
authors.initials: Y
authors.lastname: Ozawa
mesh_terms: D000328:Adult; D000368:Aged; D058452:Axial Length, Eye; D001485:Basement Membrane / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009216:Myopia / Q000601:surgery*; D012030:Refractive Errors; D041441:Retinoschisis / Q000601:surgery*; D012189:Retrospective Studies; D014792:Visual Acuity; D014821:Vitrectomy / Q000379:methods*