Macular and visual outcomes after cataract extraction for highly myopic foveoschisis

作者：Lai Chi Chun^*; Yeung Ling; Chen Yen Po; Wang Nan Kai; Wu Wei Chi; Chen Kuan Jen; Chuang Lan Hsin; Chen Tun Lu

来源：Journal of Cataract and Refractive Surgery, 2008, 34(7): 1152-1156.

DOI：10.1016/j.jcrs.2008.02.033

PURPOSE: To evaluate the macular and visual changes after cataract extraction in patients with myopic foveoschisis.
SETTING: Chang Gung Memorial Hospital, Taoyuan, Taiwan.
METHODS: This retrospective study reviewed the charts of 20 eyes (14 patients) with myopic foveoschisis that had phacoemulsification. All eyes except 1 had intraocular lens implantation. The preoperative and postoperative best corrected visual acuities (BCVAs) were documented. The central foveal thickness and morphology were examined by optical coherence tomography.
RESULTS: The mean postoperative follow-up was 15.6 months +/- 9.6 (SD). The mean preoperative BCVA of 1.35 +/- 0.65 logMAR improved to 0.47 +/- 0.38 logMAR 1 month after surgery (P <.001) and to 0.40 +/- 0.40 logMAR at 3 months (P <.001 versus preoperatively; P = .01 versus 1 month). The BCVA stabilized to a mean of 0.40 +/- 0.41 logMAR at 6 months and was 0.37 +/- 0.39 logMAR at the last visit. The mean central foveal thickness was 297 +/- 107 mu m preoperatively, 321 +/- 108 mu m 1 month postoperatively (P <.001), and 347 +/- 120 mu m at 3 months (P = .001). The central foveal thickness stabilized at 6 months (mean 357 +/- 115 mu m).
CONCLUSIONS: Visual acuity improved and central foveal thickness increased after cataract extraction in patients with myopic foveoschisis. There were no emergent macular changes.

• 出版日期2008-7
• 单位长春大学