Long-term outcome of foveolar internal limiting membrane nonpeeling for myopic traction maculopathy

Tzyy Chang Ho, Chung May Yang, Jen Shang Huang, Chang Hao Yang, Po Ting Yeh, Ta Ching Chen, Allen Ho, Muh Shy Chen

Research output: Contribution to journalArticle

Abstract

PURPOSE:: To investigate the long-term results of a novel technique to preserve the foveolar cone without peeling off the foveolar internal limiting membrane (ILM) during myopic traction maculopathy surgery. METHODS:: Nineteen patients (19 eyes) were retrospectively studied and divided into 2 groups by the extent of ILM peeled and followed for more than 3 years. Group 1: foveolar ILM nonpeeling group (FN) (12 eyes) and Group 2: total peeling of foveal ILM group (TP) (7 eyes). A donut-shaped ILM was peeled off, leaving a 400-μm diameter ILM over foveola with a sharp margin in FN group. RESULTS:: Macular hole was developed in 2 of the 7 eyes (28.6%) in the TP group and none in the FN group. Long-term central fovea thickness thinning and decrease of vision were found in the TP group, but not in the FN group (P <0.05). Inner segment/outer segment line recovered in 75% of the 12 eyes in the FN group, but in only 14.3% of the 7 eyes in the TP group. CONCLUSION:: Preservation of the foveolar cone by foveola nonpeeling surgery correlates with better anatomical and visual results than total peel, prevents long-term foveolar retinal thinning, and successfully saves the fovea from macular hole formation.

Original languageEnglish (US)
Pages (from-to)1833-1840
Number of pages8
JournalRetina
Volume34
Issue number9
DOIs
StatePublished - 2014
Externally publishedYes

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Traction
Membranes
Retinal Perforations
TP 7

Keywords

  • Internal limiting membrane
  • Macular hole
  • Müller cell
  • Myopia
  • Myopic foveoschisis
  • Myopic traction maculopathy

ASJC Scopus subject areas

  • Ophthalmology
  • Medicine(all)

Cite this

Ho, T. C., Yang, C. M., Huang, J. S., Yang, C. H., Yeh, P. T., Chen, T. C., ... Chen, M. S. (2014). Long-term outcome of foveolar internal limiting membrane nonpeeling for myopic traction maculopathy. Retina, 34(9), 1833-1840. https://doi.org/10.1097/IAE.0000000000000149

Long-term outcome of foveolar internal limiting membrane nonpeeling for myopic traction maculopathy. / Ho, Tzyy Chang; Yang, Chung May; Huang, Jen Shang; Yang, Chang Hao; Yeh, Po Ting; Chen, Ta Ching; Ho, Allen; Chen, Muh Shy.

In: Retina, Vol. 34, No. 9, 2014, p. 1833-1840.

Research output: Contribution to journalArticle

Ho, TC, Yang, CM, Huang, JS, Yang, CH, Yeh, PT, Chen, TC, Ho, A & Chen, MS 2014, 'Long-term outcome of foveolar internal limiting membrane nonpeeling for myopic traction maculopathy', Retina, vol. 34, no. 9, pp. 1833-1840. https://doi.org/10.1097/IAE.0000000000000149
Ho, Tzyy Chang ; Yang, Chung May ; Huang, Jen Shang ; Yang, Chang Hao ; Yeh, Po Ting ; Chen, Ta Ching ; Ho, Allen ; Chen, Muh Shy. / Long-term outcome of foveolar internal limiting membrane nonpeeling for myopic traction maculopathy. In: Retina. 2014 ; Vol. 34, No. 9. pp. 1833-1840.
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AB - PURPOSE:: To investigate the long-term results of a novel technique to preserve the foveolar cone without peeling off the foveolar internal limiting membrane (ILM) during myopic traction maculopathy surgery. METHODS:: Nineteen patients (19 eyes) were retrospectively studied and divided into 2 groups by the extent of ILM peeled and followed for more than 3 years. Group 1: foveolar ILM nonpeeling group (FN) (12 eyes) and Group 2: total peeling of foveal ILM group (TP) (7 eyes). A donut-shaped ILM was peeled off, leaving a 400-μm diameter ILM over foveola with a sharp margin in FN group. RESULTS:: Macular hole was developed in 2 of the 7 eyes (28.6%) in the TP group and none in the FN group. Long-term central fovea thickness thinning and decrease of vision were found in the TP group, but not in the FN group (P <0.05). Inner segment/outer segment line recovered in 75% of the 12 eyes in the FN group, but in only 14.3% of the 7 eyes in the TP group. CONCLUSION:: Preservation of the foveolar cone by foveola nonpeeling surgery correlates with better anatomical and visual results than total peel, prevents long-term foveolar retinal thinning, and successfully saves the fovea from macular hole formation.

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