title: ADJUSTABLE MACULAR BUCKLING FOR FULL-THICKNESS MACULAR HOLE WITH FOVEOSCHISIS IN HIGHLY MYOPIC EYES: Long-Term Anatomical and Functional Results.
abstract: OBJECTIVE
  To assess functional and structural outcome after adjustable macular buckling for the treatment of foveoschisis (FS), associated with full-thickness macular hole (FTMH) in highly myopic eyes.
  
  
  METHODS
  Eighteen consecutive patients who underwent adjustable macular buckling for FS associated with FTMH were included in this prospective study. Three cases were not included in the analysis due to short follow-up period (less than 3 months). Outcome measures included anatomical success rate with FS resolution and FTMH closure, best-corrected visual acuity, mean retinal sensitivity, central retinal thickness, and fixation site and stability.
  
  
  RESULTS
  Foveoschisis resolution and FTMH closure were observed in all cases between 1 month to 3 months after surgery. At 24 months of follow-up visit visual acuity improved in 13/15 eyes (86.7%) and remained stable in 2 (13.3%). Mean retinal sensitivity showed significant improvement from baseline 5.69 ± 3.52 dB to final 8.35 ± 3.86 dB; P < 0.001. Fixation stability inside central 4° improved from baseline 58.5 ± 17.8% to final 73.7 ± 23.0%; P = 0.009. Central retinal thickness did not change significantly throughout follow-up. No FTMH or FS recurrence occurred and no surgical complications arose.
  
  
  CONCLUSIONS
  Adjustable macular buckling exoplant may represent an effective surgical option for the treatment of FS associated with FTMH in highly myopic eyes. Adjustable macular buckling showed high closure rate and virtually no tendency to recur. Functional results and safety are also interesting because vision improved and retinal thickness did not reduce significantly at 24 months of follow-up.
authors.affiliation: *Department of Ophthalmology, G.B. Bietti Eye Foundation-IRCCS, Rome, Italy;†Department of Ophthalmology, Ospedale San Martino-IRCCS, Genoa, Italy;‡Department of Ophthalmology, San Giovanni-Addolorata Hospital, Rome, Italy; and§Department of Neuroscience, Ophthalmology, University of Pisa, Italy.
authors.forename: Andrea
authors.initials: A
authors.lastname: Cacciamani
authors.forename: Stefano
authors.initials: S
authors.lastname: Lazzeri
authors.forename: Tommaso
authors.initials: T
authors.lastname: Rossi
authors.forename: Fabio
authors.initials: F
authors.lastname: Scarinci
authors.forename: Mariacristina
authors.initials: M
authors.lastname: Parravano
authors.forename: Guido
authors.initials: G
authors.lastname: Ripandelli
authors.forename: Marco A G
authors.initials: MA
authors.lastname: Pileri
authors.forename: Marco
authors.initials: M
authors.lastname: Nardi
authors.forename: Mario
authors.initials: M
authors.lastname: Stirpe
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005403:Fixation, Ocular / Q000502:physiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D047728:Myopia, Degenerative / Q000150:complications*; D012160:Retina / Q000503:physiopathology; D012167:Retinal Perforations / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D041441:Retinoschisis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D012591:Scleral Buckling / Q000379:methods*; D014792:Visual Acuity / Q000502:physiology; D058609:Visual Field Tests