Dolar-Szczasny Joanna, Święch-Zubilewicz Anna, Mackiewicz Jerzy
a Department of Retina and Vitreous Surgery , Medical University of Lublin , Lublin , Poland.
Semin Ophthalmol. 2019;34(3):146-156. doi: 10.1080/08820538.2019.1610180. Epub 2019 May 6.
Myopic foveoschisis (MF) is common in highly myopic eyes with posterior staphyloma, and optical coherence tomography is essential for establishing the diagnosis and monitoring disease progression. Untreated MF may lead to significant visual loss due to secondary complications. Vitrectomy with or without internal limiting membrane peeling followed by gas tamponade is the standard treatment; however, in recent years, new techniques, including macular buckling, have been introduced. We selected a total of 41 articles with 30 describing various modifications of pars plana vitrectomy, six describing the macular buckling technique, and five reporting combined surgery. The present review describes current MF treatment strategies, including outcomes, and provides a comprehensive understanding of current therapeutic options. Early detection and surgical intervention in eyes with specific risk factors may contribute to both improved visual recovery and more favorable anatomical outcomes.
近视性黄斑劈裂（MF）在伴有后巩膜葡萄肿的高度近视眼中很常见，光学相干断层扫描对于确诊和监测疾病进展至关重要。未经治疗的MF可能因继发并发症而导致严重视力丧失。玻璃体切除术联合或不联合内界膜剥除术，随后进行气体填塞是标准治疗方法；然而，近年来，包括黄斑扣带术在内的新技术已被引入。我们共筛选出41篇文章，其中30篇描述了平坦部玻璃体切除术的各种改良方法，6篇描述了黄斑扣带术，5篇报道了联合手术。本综述描述了当前MF的治疗策略，包括治疗效果，并对当前的治疗选择提供了全面的理解。对具有特定危险因素的眼睛进行早期检测和手术干预，可能有助于改善视力恢复和获得更理想的解剖学结果。
