A Modified Surgical Technique of Fovea-Sparing Internal Limiting Membrane Peeling: Continuous Arc-Shaped Foldback Peeling
Joint Authors
Xie, Zheng-Gao
He, Qing-Yi
Zhu, Jun
Du, Wei
Tong, Jun
Chen, Fang
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-03-23
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Purpose.
To investigate the efficacy of management of high myopic foveoschisis (MF) with a modified surgical technique of arc-shaped foldback fovea-sparing internal limiting membrane (ILM) peeling.
Methods.
A 23-gauge vitrectomy was performed in five patients with high MF.
A long strip of ILM was peeled at the temporal side of the central fovea.
Next, an ILM forceps was used to grasp the outer side of the ILM flap, and it was moved forward slowly from the outside to the paracentral fovea, followed by folding ILM back in an arc-shaped manner and then removing it.
The above operations were repeated, and all ILM flaps were removed from the outside to paracentral fovea until a narrow strip of ILM remained.
Finally, the narrow strip of ILM was excised using a vitreous cutter.
Results.
At the patients’ last visits, the foveoschisis almost disappeared completely and the fovea reattached.
The central macular thickness statistically decreased from 399.0 ± 96.33 μm preoperatively to 164.60 ± 34.20 μm postoperatively (t = 4.289; P=0.013).
The preoperative mean logarithm of the minimum angle of resolution best-corrected visual acuity (1.64 ± 0.65) significantly improved to 0.72 ± 0.18 postoperatively (t = 3.265, P=0.031).
The average follow-up time was 11.80 ± 3.35 months (range; 8–16 months).
Conclusion.
The arc-shaped foldback fovea-sparing ILM peeling technique for high MF is safe and effective.
American Psychological Association (APA)
Xie, Zheng-Gao& He, Qing-Yi& Zhu, Jun& Du, Wei& Tong, Jun& Chen, Fang. 2020. A Modified Surgical Technique of Fovea-Sparing Internal Limiting Membrane Peeling: Continuous Arc-Shaped Foldback Peeling. Journal of Ophthalmology،Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1189358
Modern Language Association (MLA)
Xie, Zheng-Gao…[et al.]. A Modified Surgical Technique of Fovea-Sparing Internal Limiting Membrane Peeling: Continuous Arc-Shaped Foldback Peeling. Journal of Ophthalmology No. 2020 (2020), pp.1-6.
https://search.emarefa.net/detail/BIM-1189358
American Medical Association (AMA)
Xie, Zheng-Gao& He, Qing-Yi& Zhu, Jun& Du, Wei& Tong, Jun& Chen, Fang. A Modified Surgical Technique of Fovea-Sparing Internal Limiting Membrane Peeling: Continuous Arc-Shaped Foldback Peeling. Journal of Ophthalmology. 2020. Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1189358
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1189358