Vol. 48 No. 1 Case Series PDF

Pars Plana Vitrectomy with Silicone Oil Tamponade as Primary Treatment of Myopic Foveoschisis with High Risk for Macular Hole

Patrick A. Santiago MD, Julia Mercedes C. Villalva MD

Department of Ophthalmology, Far Eastern University-Nicanor Reyes Medical Foundation Medical Center, Quezon City

Correspondence: Julia Mercedes C. Villalva MD
Clinic Address: FEU Eye Center Inc., 2nd Floor, FEU-NRMF, Quezon City, Metro Manila
Clinic Phone Number: +632-89838338 loc 1200
Email Address: juliavillalva@gmail.com

Disclosure: The authors report no conflict of interest. No financial support was received for the study.


Objective: This small case series demonstrated pars plana vitrectomy and silicone tamponade without internal limiting membrane (ILM) peeling to be a simple, safe, and effective surgical technique for the treatment of myopic traction maculopathy (MTM).

Method: This is a small case series consisting of 3 eyes with MTM. In all eyes, pars plana vitrectomy with silicone oil tamponade was performed by a single vitreoretinal surgeon. Functional and anatomic outcomes are reported.

Results: All 3 eyes had improved visual acuity with no noted short-term complications such as iatrogenic macular hole and retinal detachment. Although foveoschisis was only partly anatomically resolved in 2 out of the 3 cases, functional outcome, in terms of visual acuity at last visit, was satisfactory.

Conclusion: Vitrectomy with silicone oil tamponade without ILM peeling is a simple, effective, and safe optional surgical technique to treat MTM.

Keywords: myopic foveoschisis, myopic traction maculopathy, pathologic myopia, vitrectomy with silicone oil, ILM peeling with fovea sparing

Philipp J Ophthalmol 2023;48:24-28