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

Authors

Patrick A. Santiago MD Department of Ophthalmology, Far Eastern University-Nicanor Reyes Medical Foundation Medical Center, Quezon City Author
Julia Mercedes C. Villalva MD Department of Ophthalmology, Far Eastern University-Nicanor Reyes Medical Foundation Medical Center, Quezon City Author

Keywords:

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

Abstract

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).

Methods: 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.