First Author: P.de Miguel Simo SPAIN
Co Author(s): A. De Carvalho E. Cantal L. Amselem C. Barnes J. Badal C. Moser
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Various surgical procedures have been proposed for the treatment of retinal detachment secundary to a macular hole and myopic foveoschisis using combined vitrectomy and scleral buckling. we analise 2 different techniques and it's functional and anatomical results.
Patients with macular foveoschisis who underwent surgery in the last 5 years by the same surgeon in the Hospital General de l'Hospitalet, Barcelona, Spain.
We studied 6 eyes of 5 patients with myopic macular retinoschisis or retinal detachment who were treated with 2 diferent buckling devices: 3 eyes with ando plombe (group 1) and 3 eyes with 2.5 mm silicone band (group 2). We compare the best-corrected visual acuity (NCVA) and optical coherence tomography (OCT) of both techniques before and after the surgery.
The previous BCVA at the group 1 were hand motion (HM) in 2 eyes and counting fingers (CF) at 1 meter in 1 eye, and it improved to CF at 2 metres, 20/400 and 20/60, respectively. in group 2, the previous BCVA was HM in 2 eyes and CF at 1 m in 1 eye, and they achieved 20/400, 20/400 and 20/100 respectively. However, we observed in the OCT findings a better anatomical macular shape using the 2.5mm silicone band comparing to the domo macular shape induced by the ando plombe.
We conclude that macular buckling is a safe and useful technique, and that the use of a 2.5mm silicone band is a cheap option with good anatomical results, despite the limitations of the study (small case series with some cases of short follow-up).