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Three‐year outcomes of macular buckling for macular holes and foveoschisis in highly myopic eyes
Author(s) -
Zhao Xiujuan,
Ma Wei,
Lian Ping,
Tanumiharjo Silvia,
Lin Ying,
Ding Xiaoyan,
Stewart Jay M.,
Liu Bingqian,
Lu Lin
Publication year - 2020
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/aos.14305
Subject(s) - medicine , ophthalmology , scleral buckling , visual acuity , macular hole , surgery , retinal detachment , retinal , vitrectomy
Abstract Background To assess the functional and structural outcomes of macular buckling using a silicone sponge‐titanium exoplant for the treatment of foveoschisis ( FS ) and full‐thickness macular holes ( FTMH s) in highly myopic eyes. Methods Forty‐nine consecutive patients with high myopia who underwent macular buckling for the treatment of FS and FTMH s were included. The outcomes measured included the anatomical success rate with FS resolution, retinal reattachment, MH closure, best corrected visual acuity ( BCVA ), axial length ( AL ) and complications of surgery. Moreover, the correlations between the BCVA at year three and series of factors, including age, duration of symptoms, baseline BCVA , AL , surgical type, preoperative macular status and severity of myopic maculopathy, were analysed. Results This study involved 28 patients (28 eyes) with FS and 21 patients (21 eyes) with FTMH s with macular detachment. Retinal reattachment was achieved in 100% of cases, while MH closure was achieved in 76.19% of cases. The BCVA significantly improved one year after macular buckling in the FS cases and two years after macular buckling in the FTMH cases, and it remained stable throughout the rest of the follow‐up period. The mean AL decreased by 2.09 mm postoperatively. No major perioperative complications were observed, although one patient needed to explant the buckling device due to intolerable diplopia. Conclusion Macular buckling with a silicone sponge‐titanium exoplant may represent a safe and effective surgical option for the treatment of FS and FTMH in highly myopic eyes. Macular buckling showed a high closure rate and virtually no tendency to recur.