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Fovea-sparing internal limiting membrane peeling versus complete internal limiting membrane peeling for myopic traction maculopathy

  • Clinical Investigation
  • Published:
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Abstract

Purpose

To compare the outcomes of vitrectomy with fovea-sparing internal limiting membrane peeling (FSIP) and complete internal limiting membrane peeling (ILMP) for myopic traction maculopathy (MTM).

Study design

A retrospective, observational study.

Patients and methods

In this study, we included 22 eyes of 21 consecutive patients who underwent vitrectomy with FSIP or ILMP for MTM and were monitored for at least 6 months. Eleven eyes were treated with FSIP, and 11, with ILMP.

Results

With FSIP, the postoperative best-corrected visual acuity (BCVA) significantly improved from 0.61 (20/82) to 0.34 (20/44; P = .009) logarithm of the minimum angle of resolution (logMAR) units. With ILMP, the postoperative BCVA improved from 0.65 (20/89) to 0.52 (20/66) logMAR units, but was not significant (P = .106). The postoperative final central foveal thickness (CFT) reduced significantly after FSIP (from 557.6 to 128.8 µm, P = .003) and ILMP (from 547.3 to 130.3 µm, P = .008). The postoperative incidence of a macular hole was 0% (0/11 eyes) with FSIP and 27.3% (3/11 eyes) with ILMP. All patients with a macular hole had foveal detachment in association with a thin fovea preoperatively. With ILMP, postoperative BCVA with a macular hole worsened by −3.5 letters; in contrast, postoperative BCVA without a macular hole improved by +10.5 letters. With FSIP, postoperative BCVA without a macular hole significantly improved by +13.5 letters (P = .009).

Conclusions

FSIP resulted in significant improvement in MTM and prevented postoperative macular hole development.

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References

  1. Panozzo G, Mercanti A. Optical coherence tomography findings in myopic traction maculopathy. Arch Ophthalmol. 2004;122:1455–60.

    Article  Google Scholar 

  2. Panozzo G, Mercanti A. Vitrectomy for myopic traction maculopathy. Arch Opthalmol. 2007;125:767–72.

    Article  Google Scholar 

  3. Takano M, Kishi S. Foveal retinoschisis and retinal detachment in severely myopic eyes with posterior staphyloma. Am J Opthalmol. 1999;128:472–6.

    Article  CAS  Google Scholar 

  4. Baba T, Ohno-Matsui Y, Futagami S, Yoshida T, Yasuzumi K, Kojima A, et al. Prevalence and characteristics of foveal retinal detachment without macular hole in high myopia. Am J Ophthalmol. 2003;135:338–42.

    Article  Google Scholar 

  5. Shimada N, Ohno-Matsui K, Baba T, Futagami S, Tokoro T, Mochizuki M. Natural course of macular retinoschisis in highly myopic eyes without macular hole or retinal detachment. Am J Ophthalmol. 2006;142:497–500.

    Article  Google Scholar 

  6. Gaucher D, Haouchine B, Tadayoni R, Massin P, Erginay A, Benhamou N, et al. Long-term follow-up of high myopic foveoschisis. Am J Opthalmol. 2007;143:455–62.

    Article  Google Scholar 

  7. Shimada N, Tanaka Y, Tokoro T, Ohno-Matsui K. Natural course of myopic traction maculopathy and factors associated with progression or resolution. Am J Opthalmol. 2013;156:948–57.

    Article  Google Scholar 

  8. Johnson MW. Myopic traction maculopathy pathologic mechanisms and surgical treatment. Retina. 2012;32:205–10.

    Article  Google Scholar 

  9. Vanderbeek BL, Johnson MW. The diversity of traction mechanisms in myopic traction maculopathy. Am J Ophthalmol. 2012;153:93–102.

    Article  Google Scholar 

  10. Sayanagi K, Ikuno Y, Tano Y. Reoperation for persistent myopic foveoschisis after primary vitrectomy. Am J Opthalmol. 2006;141:414–7.

    Article  Google Scholar 

  11. Spade RF, Fisher Y. Removal of adherent cortical vitreous plaques without removing the internal limiting membrane in the repair of macular detachments in highly myopic eyes. Retina. 2005;25:290–5.

    Article  Google Scholar 

  12. Lim SJ, Kwon YH, Kim SH, You YS, Kwon OW. Vitrectomy and internal limiting membrane peeling without gas tamponade for myopic foveoschisis. Graefes Arch Opthalmol. 2012;250:1573–7.

    Article  Google Scholar 

  13. Kim KS, Lee SB, Lee WK. Vitrectomy and internal limiting membrane peeling with and without gas tamponade for myopic foveoschisis. Am J Opthalmol. 2012;153:320–6.

    Article  Google Scholar 

  14. Shimada N, Sugamoto Y, Ogawa M, Takase H, Ohno-Matsui K. Fovea-sparing internal limiting membrane peeling for myopic traction maculopathy. Am J Opthalmol. 2012;154:693–701.

    Article  Google Scholar 

  15. Gao X, Ikuno Y, Fujimoto S, Nishida K. Risk factors for development of full-thickness macular holes after pars plana vitrectomy for myopic foveoschisis. Am J Opthalmol. 2013;155:1021–7.

    Article  Google Scholar 

  16. Ho TZ, Yang CM, Huang JS, Yang CH, Yeh PT, Chen TC, et al. Long-term outcome of foveolar internal limiting membrane nonpeeling for myopic traction maculopathy. Retina. 2014;34:1833–40.

    Article  Google Scholar 

  17. Hattori K, Kataoka K, Takeuchi J, Ito Y, Terasaki H. Predictive factors of surgical outcomes in vitrectomy for myopic traction maculopathy. Retina. 2018;38:S23–30.

    Article  Google Scholar 

  18. Uchida A, Shinoda H, Koto T, Mochimaru H, Nagai N, Tsubota K, et al. Vitrectomy for myopic foveoschisis with internal limiting membrane peeling and no gas tamponade. Retina. 2014;34:455–60.

    Article  Google Scholar 

  19. Nakanishi H, Kuriyama S, Saitou I, Okada M, Kita M, Kurimoto Y, et al. Prognostic factor analysis in pars plana vitrectomy for retinal detachment attributable to macular hole in high myopia. Am J Ophthalmol. 2008;146:198–204.

    Article  Google Scholar 

  20. Ikuno Y, Sayanagi K, Oshima T, Gomi F, Kusaka S, Kamei M, et al. Optical coherence tomographic findings of macular holes and retinal detachment after vitrectomy in highly myopic eyes. Am J Ophthalmol. 2003;136:477–81.

    Article  Google Scholar 

  21. Ram RF, Lai WW, Cheung BT, Yuen CY, Wong TH, Shanmugam MP, et al. Pars plana vitrectomy and perfluoropropane (C3F8) tamponade for retinal detachment due to myopic macular hole. Am J Ophthalmol. 2006;142:938–44.

    Article  Google Scholar 

  22. Ho TC, Chen MS, Huang JS, Shih YF, Ho H, Huang YH. Foveola nonpeeling technique in internal limiting membrane peeling of myopic foveoschisis surgery. Retina. 2012;32:631–4.

    PubMed  Google Scholar 

  23. Kumar A, Ravani R, Mehta A, Simakurthy S, Dhull C. Outcomes of microscope integrated intraoperative optical coherence tomography guided center sparing internal limiting membrane peeling for myopic traction maculopathy. Int Ophthalmol. 2018;38:1689–96.

    Article  Google Scholar 

  24. Jin H, Zhang Q, Zhao P. Fovea sparing internal limiting membrane peeling using multiple parafoveal curvilinear peels for myopic foveoschisis. BMC Ophthalmol. 2016;16:180.

    Article  Google Scholar 

  25. Lee CL, Wu WC, Chen KJ, Chiu LY, Wu KY, Chang YC. Modified internal limiting membrane peeling technique (maculorrhexis) for myopic foveoschisis surgery. Acta Ophthalmol. 2017;95:e128–31.

    Article  Google Scholar 

  26. Iwasaki M, Kinoshita T, Miyamoto H, Imaizumi H. Surgical outcome and natural course of retinoschisis in highly myopic eyes. Atarashii Ganka (J Eye). 2017;34:1459–64 (in Japanese).

    Google Scholar 

  27. Yamada E. Some structural features of the fovea centralis in the human retina. Arch Opthalmol. 1969;82:151–9.

    Article  CAS  Google Scholar 

  28. Russo A, Morescalchi F, Gambicorti E, Cancarini A, Costagliola C, Semeraro F. Epiretinal membrane removal with foveal-sparing internal limiting membrane peeling: a pilot study. Retina. 2018. https://doi.org/10.1097/IAE.0000000000002274.

    Article  PubMed  Google Scholar 

  29. Hayashi K, Ohno-Matsui K, Shimada N, Moriyama M, Kojima A, Hayashi W, et al. Long-term pattern of progression of myopic maculopathy: a natural history study. Ophthalmolog. 2010;117:1595–611.

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Ophthalmology, Sapporo City General Hospital, 1-1 Kita 11-jo Nishi 13-chome, Chuo-ku, Sapporo, 060-8604, Japan

    Masanori Iwasaki, Hirotomo Miyamoto, Utako Okushiba & Hiroko Imaizumi

  2. Okushiba Eye Clinic, Sapporo, Japan

    Utako Okushiba

Authors
  1. Masanori Iwasaki
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  2. Hirotomo Miyamoto
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  3. Utako Okushiba
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  4. Hiroko Imaizumi
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Correspondence to Masanori Iwasaki.

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Conflicts of interest

M. Iwasaki, None; H. Miyamoto, None; U. Okushiba, None; H. Imaizumi, None.

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Corresponding Author: Masanori Iwasaki

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Iwasaki, M., Miyamoto, H., Okushiba, U. et al. Fovea-sparing internal limiting membrane peeling versus complete internal limiting membrane peeling for myopic traction maculopathy. Jpn J Ophthalmol 64, 13–21 (2020). https://doi.org/10.1007/s10384-019-00696-1

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  • DOI: https://doi.org/10.1007/s10384-019-00696-1

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