Visual and Anatomic Outcomes of Vitrectomy for Myopic Maculoschisis with and without Macular Detachment: A Case-Control Study.

IF 2.1 2区医学 Q2 OPHTHALMOLOGY

Retina-The Journal of Retinal and Vitreous Diseases Pub Date : 2025-09-17 DOI:10.1097/IAE.0000000000004689

Jun Li, Chonglin Chen, Sufen Lu, Xiaoyang Ding, Chun Zhang

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引用次数: 0

Abstract

Purpose: To compare the visual and anatomic outcomes of pars plana vitrectomy (PPV) between myopic maculoschisis with and without macular detachment (MD).

Methods: This retrospective comparative study included 38 eyes of 38 patients who received PPV for myopic maculoschisis between July 2021 and July 2022. Two groups were identified based on whether preoperative MD was detected via optical coherence tomography (OCT): 16 eyes with MD and 22 eyes without MD. Surgical effects were assessed by the final best-corrected visual acuity (BCVA), ellipsoid zone (EZ) state, and the rate of complete fovea relief.

Results: The postoperative follow-up were 15.25 ± 3.70 and 15.55 ± 3.39 months in the groups with and without MD, respectively ( P = 0.800). The preoperative logMAR BCVA was 1.21 ± 0.65 and 0.55 ± 0.37 in the groups with and without MD, respectively ( P = 0.001). Nevertheless, no difference existed in the postoperative BCVA at final visit between the groups with and without MD (0.51 ± 0.29 logMAR, ∼20/64 VS . 0.40 ± 0.41 logMAR, ∼20/50, P = 0.345). During the follow-up period, the rates of EZ band reconstruction were 40.00% (6/15) and 33.33% (2/6) in the groups with and without MD, respectively ( P = 0.590). Finally, a total of 33 eyes achieved complete fovea relief, including 13 eyes (81.25%) in the group with MD and 20 eyes (90.91%) in the group without MD ( P = 0.701).

Conclusion: In myopic maculoschisis eyes, the presence of MD did not significantly affect postoperative visual or anatomical outcomes in our cohort.

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伴有和不伴有黄斑脱离的近视黄斑裂玻璃体切除术的视觉和解剖结果：一项病例对照研究。

目的：比较伴和不伴黄斑脱离（MD）的近视黄斑裂玻璃体切除术（PPV）的视觉和解剖效果。方法：本回顾性比较研究包括在2021年7月至2022年7月期间接受PPV治疗的38例近视黄斑裂患者的38只眼。根据术前是否通过光学相干断层扫描（OCT）检测到MD分为两组：16只眼有MD， 22只眼无MD。通过最终最佳矫正视力（BCVA）、椭球区（EZ）状态和中央凹完全缓解率来评估手术效果。结果：有MD组术后随访15.25±3.70个月，无MD组术后随访15.55±3.39个月（P = 0.800）。MD组和非MD组术前logMAR BCVA分别为1.21±0.65和0.55±0.37 （P = 0.001）。然而，有MD组和没有MD组在最后一次就诊时的BCVA没有差异（0.51±0.29 logMAR, ~ 20/64 VS. 0.40±0.41 logMAR, ~ 20/50, P = 0.345）。随访期间，有无MD组EZ波段重建率分别为40.00%（6/15）和33.33%(2/6)，差异有统计学意义（P = 0.590）。最终33只眼获得完全的中央凹缓解，其中MD组13只眼（81.25%），非MD组20只眼（90.91%）（P = 0.701）。结论：在近视黄斑裂眼中，MD的存在并没有显著影响术后视力或解剖结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Retina-The Journal of Retinal and Vitreous Diseases 医学-眼科学

CiteScore

5.70

自引率

9.10%

发文量

554

审稿时长

3-6 weeks

期刊介绍： RETINA® focuses exclusively on the growing specialty of vitreoretinal disorders. The Journal provides current information on diagnostic and therapeutic techniques. Its highly specialized and informative, peer-reviewed articles are easily applicable to clinical practice. In addition to regular reports from clinical and basic science investigators, RETINA® publishes special features including periodic review articles on pertinent topics, special articles dealing with surgical and other therapeutic techniques, and abstract cards. Issues are abundantly illustrated in vivid full color. Published 12 times per year, RETINA® is truly a “must have” publication for anyone connected to this field.