title: Late recurrence of myopic foveoschisis after successful repair with primary vitrectomy and incomplete membrane peeling.
abstract: OBJECTIVE
  To report three cases of late recurrence of myopic foveoschisis (MF) after initial successful repair with pars plana vitrectomy and membrane peeling to assess the importance of internal limiting membrane peeling.
  
  
  METHODS
  A retrospective noncomparative case series was performed of patients who underwent a primary pars plana vitrectomy by a single surgeon with successful resolution of MF, but eventually underwent repeat pars plana vitrectomy for recurrent MF. Best-corrected visual acuity, fundus photography, and optical coherence tomography were obtained at each examination.
  
  
  RESULTS
  Three eyes of three patients underwent pars plana vitrectomy for recurrent MF. Myopic foveoschisis recurrence occurred 6, 3.5, and 12 years after the primary vitrectomy, respectively. Repeat vitrectomy with staining and additional peeling of the internal limiting membrane resulted in good anatomical outcome and stabilization of visual acuity in all cases.
  
  
  CONCLUSIONS
  Late recurrence of MF after successful primary vitrectomy is described. Fibrocellular proliferation on residual cortical vitreous or incomplete internal limiting membrane peeling during the initial vitrectomy may underlie recurrence.
authors.affiliation: *Department of Ophthalmology, Edward S. Harkness Eye Institute, Columbia University College of Physicians and Surgeons, New York, New York; †Department of Ophthalmology, Fundacion Oftalmologica Los Andes, Santiago, Chile; ‡Vitreous, Retina, Macula Consultants of New York, New York, New York; and §Department of Ophthalmology, Hallym University Medical Center, Seoul, Korea.
authors.forename: Gonzalo
authors.initials: G
authors.lastname: Sepúlveda
authors.forename: Stanley
authors.initials: S
authors.lastname: Chang
authors.forename: K Bailey
authors.initials: KB
authors.lastname: Freund
authors.forename: SungPyo
authors.initials: S
authors.lastname: Park
authors.forename: Quan V
authors.initials: QV
authors.lastname: Hoang
mesh_terms: D001485:Basement Membrane / Q000601:surgery; D058450:Endotamponade; D019773:Epiretinal Membrane / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D047728:Myopia, Degenerative / Q000175:diagnosis* / Q000601:surgery; D012008:Recurrence; D041441:Retinoschisis / Q000175:diagnosis* / Q000601:surgery; D012189:Retrospective Studies; D041623:Tomography, Optical Coherence; D014792:Visual Acuity / Q000502:physiology; D014821:Vitrectomy
references.citation: Am J Ophthalmol. 2006 Feb;141(2):414-7
references.pmid: 16458717
references.citation: Am J Ophthalmol. 1996 Jul;122(1):67-75
references.pmid: 8659600
references.citation: Am J Ophthalmol. 2006 Sep;142(3):483-7
references.pmid: 16935595
references.citation: Br J Ophthalmol. 2005 Sep;89(9):1180-3
references.pmid: 16113377
references.citation: Am J Ophthalmol. 2003 Apr;135(4):547-9
references.pmid: 12654379
references.citation: Am J Ophthalmol. 2003 Mar;135(3):338-42
references.pmid: 12614751
references.citation: Br J Ophthalmol. 2008 Jun;92(6):762-4
references.pmid: 18523081
references.citation: Am J Ophthalmol. 2005 Mar;139(3):462-7
references.pmid: 15767054
references.citation: Am J Ophthalmol. 2001 Feb;131(2):203-7
references.pmid: 11228296
references.citation: Am J Ophthalmol. 2007 Mar;143(3):455-62
references.pmid: 17222382
references.citation: Am J Ophthalmol. 2003 Oct;136(4):741-4
references.pmid: 14516820
references.citation: Br J Ophthalmol. 2006 May;90(5):652-3
references.pmid: 16622102
references.citation: Am J Ophthalmol. 1999 Oct;128(4):472-6
references.pmid: 10577588
references.citation: Ophthalmology. 2003 Sep;110(9):1702-7
references.pmid: 13129865
references.citation: Eye (Lond). 2009 Feb;23(2):248-54
references.pmid: 18344953
references.citation: Am J Ophthalmol. 2006 Sep;142(3):497-500
references.pmid: 16935601
references.citation: Am J Ophthalmol. 2004 Apr;137(4):719-24
references.pmid: 15059711
references.citation: Am J Ophthalmol. 2004 Dec;138(6):1071-3
references.pmid: 15629315
references.citation: Br J Ophthalmol. 2008 Jul;92(7):1009
references.pmid: 18577657
references.citation: Am J Ophthalmol. 2006 Nov;142(5):850-2
references.pmid: 17056366
references.citation: Am J Ophthalmol. 2012 Oct;154(4):693-701
references.pmid: 22835515
references.citation: Retina. 2005 Apr-May;25(3):290-5
references.pmid: 15805905
references.citation: Eye (Lond). 2009 Jun;23(6):1336-42
references.pmid: 18836417
references.citation: Eye (Lond). 2009 Feb;23(2):356-61
references.pmid: 18064059
references.citation: Br J Ophthalmol. 2006 Mar;90(3):293-5
references.pmid: 16488947
references.citation: Arch Ophthalmol. 2004 Oct;122(10):1455-60
references.pmid: 15477456
references.citation: Am J Ophthalmol. 2003 Jul;136(1):177-80
references.pmid: 12834688