دورية أكاديمية
VISION AND METAMORPHOPSIA OUTCOMES OF MACULAR BUCKLING FOR FOVEOSCHISIS-ASSOCIATED MACULAR DETACHMENT IN HIGHLY MYOPIC EYES.
| العنوان: | VISION AND METAMORPHOPSIA OUTCOMES OF MACULAR BUCKLING FOR FOVEOSCHISIS-ASSOCIATED MACULAR DETACHMENT IN HIGHLY MYOPIC EYES. |
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| المؤلفون: | Zhang Q; State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou, China., Zhao X, Liu B, Chen S, Huang X, Wu Q, Zhan J, Lu L |
| المصدر: | Retina (Philadelphia, Pa.) [Retina] 2024 Sep 01; Vol. 44 (9), pp. 1546-1551. Date of Electronic Publication: 2024 Aug 16. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 8309919 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1539-2864 (Electronic) Linking ISSN: 0275004X NLM ISO Abbreviation: Retina Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Hagerstown, MD : Lippincott Williams & Wilkins Original Publication: Philadelphia : Lippincott, [1981?- |
| مواضيع طبية MeSH: | Visual Acuity*/physiology , Retinal Detachment*/surgery , Retinal Detachment*/physiopathology , Retinal Detachment*/diagnosis , Retinal Detachment*/etiology , Myopia, Degenerative*/complications , Myopia, Degenerative*/physiopathology , Myopia, Degenerative*/surgery , Scleral Buckling*/methods , Retinoschisis*/surgery , Retinoschisis*/physiopathology , Retinoschisis*/diagnosis , Quality of Life* , Vision Disorders*/physiopathology , Vision Disorders*/etiology, Humans ; Male ; Female ; Middle Aged ; Aged ; Retrospective Studies ; Adult ; Follow-Up Studies ; Tomography, Optical Coherence/methods ; Treatment Outcome |
| مستخلص: | Purpose: To assess the functional outcomes in visual acuity, metamorphopsia, and vision-related quality of life (VR-QOL) and to evaluate prognostic factors after macular buckling (MB) surgery in eyes with high myopia and foveoschisis (FS)-associated macular detachment (MD). Methods: Thirty-nine eyes of 39 patients with FS-associated MD who underwent MB surgery were enrolled. Measured outcomes comprised best-corrected visual acuity (BCVA), metamorphopsia, VR-QOL, axial length (AL), macular reattachment, and resolution of foveoschisis. In addition, factors affecting final BCVA and metamorphopsia were analyzed. Results: At 12 months postoperatively, 36 eyes (92.31%) achieved macular reattachment, 37 eyes (94.87%) achieved complete resolution of foveoschisis, and metamorphopsia diminished in 31 eyes (79.49%). LogMAR BCVAs at baseline and months 1, 3, 6, and 12 postoperatively were 0.62 ± 0.35 (20/83), 0.65 ± 0.3 (20/89), 0.59 ± 0.31 (20/77), 0.54 ± 0.31 (20/69), and 0.46 ± 0.27 (20/57) (P < 0.001), respectively. Metamorphopsia scores by M-CHARTS were 1.36° ± 0.51°, 1.04° ± 0.51°, 0.74° ± 0.47°, 0.59° ± 0.47°, and 0.13° ± 0.29° (P < 0.001). All Visual Function Questionnaire-25 subscales demonstrated significant improvement postoperatively, with the exception of "general health" (P = 0.08) and "driving" (P = 0.111). Preoperative BCVA was an independent risk factor for postoperative BCVA at month 12 (r = 0.638, P < 0.001), and the preoperative M-score was an independent risk factor for postoperative M-score at month 12 (r = 0.187, P = 0.045). Conclusion: MB surgery significantly improved BCVA, metamorphopsia, and VR-QOL in patients with FS-associated MD. Preoperative BCVA and metamorphopsia score were prognostic factors for postoperative BCVA and metamorphopsia score at month 12. (Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the Opthalmic Communications Society, Inc.) |
| References: | Panozzo G, Mercanti A. Optical coherence tomography findings in myopic traction maculopathy. Arch Ophthalmol 2004;122:1455–1460. Sun CB, Liu Z, Xue AQ, Yao K. Natural evolution from macular retinoschisis to full-thickness macular hole in highly myopic eyes. Eye 2010;24:1787–1791. Theodossiadis PG, Eleftheriadou MI, Emfietzoglou I, et al. Evolution of full-thickness macular hole formation in a case of myopic foveoschisis. Semin Ophthalmol 2014;29:210–212. Parolini B, Palmieri M, Finzi A, Frisina R. Proposal for the management of myopic traction maculopathy based on the new MTM staging system. Eur J Ophthalmol 2021;31:3265–3276. Liu B, Chen S, Li Y, et al. Comparison of macular buckling and vitrectomy for the treatment of macular schisis and associated macular detachment in high myopia: a randomized clinical trial. Acta Ophthalmol 2020;98:e266–e272. Zhao X, Li Y, Ma W, et al. Macular buckling versus vitrectomy on macular hole associated macular detachment in eyes with high myopia: a randomised trial. Br J Ophthalmol 2022;106:582–586. Matsumoto C, Arimura E, Okuyama S, et al. Quantification of metamorphopsia in patients with epiretinal membranes. Invest Ophthalmol Vis Sci 2003;44:4012–4016. Arimura E, Matsumoto C, Okuyama S, et al. Quantification of metamorphopsia in a macular hole patient using M-CHARTS TM . Acta Ophthalmol Scand 2007;85:55–59. Achiron A, Lagstein O, Glick M, et al. Quantifying metamorphopsia in patients with diabetic macular oedema and other macular abnormalities. Acta Ophthalmol 2015;93:e649–e653. Okamoto F, Sugiura Y, Okamoto Y, et al. Metamorphopsia and optical coherence tomography findings after rhegmatogenous retinal detachment surgery. Am J Ophthalmol 2014;157:214–220.e1. Nowomiejska K, Oleszczuk A, Brzozowska A, et al. M-charts as a tool for quantifying metamorphopsia in age-related macular degeneration treated with the bevacizumab injections. BMC Ophthalmol 2013;13:13. Coleman AL. Development of the 25-ITEM national eye institute visual function questionnaire. Evidence-Based Eye Care 2002;3:58–59. Matsuoka Y, Tanito M, Takai Y, et al. Visual function and vision-related quality of life after vitrectomy for epiretinal membranes: a 12-month follow-up study. Invest Ophthalmol Vis Sci 2012;53:3054–3058. Park HS, Lee CS, Koh HJ. Progression of myopic maculopathy in patients with myopic traction maculopathy after vitrectomy. Retina 2023;43:81–87. Li J, Liu B, Li Y, et al. Clinical characteristics of eyes with different grades of myopic traction maculopathy: based on the new classification system. Retina 2021;41:1496–1501. Parolini B, Palmieri M, Finzi A, et al. The new myopic traction maculopathy staging system. Eur J Ophthalmol 2021;31:1299–1312. |
| تواريخ الأحداث: | Date Created: 20240821 Date Completed: 20240821 Latest Revision: 20240827 |
| رمز التحديث: | 20240828 |
| مُعرف محوري في PubMed: | PMC11332366 |
| DOI: | 10.1097/IAE.0000000000004148 |
| PMID: | 39167576 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1539-2864 |
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| DOI: | 10.1097/IAE.0000000000004148 |