title: MACULAR BUCKLING USING A THREE-ARMED SILICONE CAPSULE FOR FOVEOSCHISIS ASSOCIATED WITH HIGH MYOPIA.
abstract: OBJECTIVE
  To investigate the safety and efficacy of a novel macular buckling technique on foveoschisis in highly myopic eyes.
  
  
  METHODS
  Highly myopic eyes with foveoschisis, posterior staphyloma, and axial length greater than 26.5 mm, but without a full-thickness macular hole, were included. Macular buckling was performed in the included eyes using a three-armed adjustable silicon capsule.
  
  
  RESULTS
  Eight eyes from eight patients (five women) were enrolled in this study. The mean follow-up period was 11.6 (range 9-14) months. After surgery, the best-corrected visual acuity was improved in 7/8 (87.5%) eyes, optical coherence tomography imaging showed gradual anatomic improvement of macula over time. The final best-corrected visual acuity gained 21.5 early treatment diabetes retinopathy study letters from baseline on average (P = 0.014). Postoperatively, the most common complications were transiently elevated intraocular pressure (62.5%) and asymptomatic abduction limitation (100%), and the most serious complication was hemorrhagic choroidal detachment (25%).
  
  
  CONCLUSIONS
  Macular buckling with a three-armed adjustable silicone capsule resulted in anatomic and visual improvement in eyes with myopic foveoschisis.
authors.affiliation: *State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong, China; and †Doheny Eye Institute, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California.
authors.forename: Bingqian
authors.initials: B
authors.lastname: Liu
authors.forename: Wei
authors.initials: W
authors.lastname: Ma
authors.forename: Yonghao
authors.initials: Y
authors.lastname: Li
authors.forename: Yan
authors.initials: Y
authors.lastname: Luo
authors.forename: Chenjin
authors.initials: C
authors.lastname: Jin
authors.forename: Xiaoling
authors.initials: X
authors.lastname: Liang
authors.forename: Srinivas R
authors.initials: SR
authors.lastname: Sadda
authors.forename: Qianying
authors.initials: Q
authors.lastname: Gao
authors.forename: Lin
authors.initials: L
authors.lastname: Lu
mesh_terms: D000328:Adult; D058452:Axial Length, Eye / Q000473:pathology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D047728:Myopia, Degenerative / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D011183:Postoperative Complications; D011446:Prospective Studies; D041441:Retinoschisis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D012591:Scleral Buckling / Q000295:instrumentation* / Q000379:methods; D012826:Silicone Elastomers; D041623:Tomography, Optical Coherence; D014792:Visual Acuity / Q000502:physiology; D014821:Vitrectomy
chemical_list: D012826:Silicone Elastomers