Vitrectomy combined with posterior scleral reinforcement for high myopic macular retinoschisis

Abstract

Objective To investigate the clinical efficacy of vitrectomy combined with internal limiting membrane peeling and posterior scleral reinforcement for the treatment of high myopic macular retionschisis. Methods The data of 37 eyes of 37 patients with high myopia and macular splitting who were treated in our hospital from Mar. 2014 to Feb. 2017 were analyzed retrospectively. All patients were treated with posterior scleral reinforcement combined with vitrectomy, internal limiting membrane peeling and intravitreal injection of air. Among them partial cataract patients were treated with phacoemulsification and intraocular lens implantation. The follow-up time was 12 months. Results After operation, the retinoschisis was completely closed in 37 eyes. The thickness of central macular retina at 3 months after operation was significantly lower than that before operation (P<0.05). The best corrected visual acuity at 6 months postoperatively was significantly higher than preoperatively(P<0.05), and the visual acuity at 12 months after operation was higher than that at 6 months after operation (P<0.05). The axial length at 6 months after operation was significantly shorter than that preoperatively(P<0.05), and the axial length at 12 months after operation was shorter than that at 6 months after operation (P<0.01). Transient high intraocular pressure occurred in 2 eyes. No secondary surgery treated or other complication occurred. Conclusion The clinical efficacy of posterior scleral reinforcement combined with vitrectomy and internal limiting membrane peeling for the treatment of high myopic macular retionschisis is good. Key words: Reinforcement, posterior sclera; Retinopathy; Myopia, high; Splitting, macula