Modified internal limiting membrane peeling technique (maculorrhexis) for myopic foveoschisis surgery

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• 作者：Chia-Ling Lee ; Wen-Chuan Wu ; Kuo-Jen Chen ; Li-Yi Chiu ; Kwou-Yeung Wu and Yo-Chen Chang
• 刊名：Acta Ophthalmologica
• 出版年：2017
• 出版时间：March 2017
• 年：2017
• 卷：95
• 期：2
• 页码：e128-e131
• 全文大小：516K
• ISSN：1755-3768

文摘

Myopic foveoschisis occurs in 9–34% of highly myopic eyes with posterior staphyloma. The pathogenesis is still not fully understood. But the relative inflexibility of the inner retina and a tangential traction induced inward traction force in the posterior staphyloma are possible mechanisms. Conventional internal limiting membrane (ILM) peeling generally yields good results. However, a postoperative full-thickness macular hole happens in 13–28% of cases. Therefore, this study describes a modified ILM peeling technique named ‘ILM maculorrhexis’ to minimize the occurrence of postoperative macular hole in patients with foveoschisis.