LONG-TERM OUTCOME OF FOVEOLAR INTERNAL LIMITING MEMBRANE NONPEELING FOR MYOPIC TRACTION MACULOPATHY

作者：Ho Tzyy Chang; Yang Chung May; Huang Jen Shang; Yang Chang Hao; Yeh Po Ting; Chen Ta Ching; Ho Allen; Chen Muh Shy^*

来源：Retina-The Journal of Retinal and Vitreous Diseases, 2014, 34(9): 1833-1840.

DOI：10.1097/IAE.0000000000000149

• internal limiting membrane
• macular hole
• Muller cell
• myopia
• myopic foveoschisis
• myopic traction maculopathy

Purpose: To investigate the long-term results of a novel technique to preserve the foveolar cone without peeling off the foveolar internal limiting membrane (ILM) during myopic traction maculopathy surgery. %26lt;br%26gt;Methods: Nineteen patients (19 eyes) were retrospectively studied and divided into 2 groups by the extent of ILM peeled and followed for more than 3 years. Group 1: foveolar ILM nonpeeling group (FN) (12 eyes) and Group 2: total peeling of foveal ILM group (TP) (7 eyes). A donut-shaped ILM was peeled off, leaving a 400-mu m diameter ILM over foveola with a sharp margin in FN group. %26lt;br%26gt;Results: Macular hole was developed in 2 of the 7 eyes (28.6%) in the TP group and none in the FN group. Long-term central fovea thickness thinning and decrease of vision were found in the TP group, but not in the FN group (P %26lt; 0.05). Inner segment/outer segment line recovered in 75% of the 12 eyes in the FN group, but in only 14.3% of the 7 eyes in the TP group. %26lt;br%26gt;Conclusion: Preservation of the foveolar cone by foveola nonpeeling surgery correlates with better anatomical and visual results than total peel, prevents long-term foveolar retinal thinning, and successfully saves the fovea from macular hole formation.

• 出版日期2014-9
• 单位长春大学