Abstract:

Objective   To evaluate the efficacy and safety of internal limiting membrane（ILM） for treatment of foveoschisis in high myopia. Methods   25 high-myopia patients (25 eyes) with foveoschisis from March 2008 to October 2010 were divided two groups: the treatment group (14 eyes) were treated with vitrectomy combined with ILM peeling, and the control group (11 eyes) were treated only with vitrectomy.The best spectacle-correction, foveoschisis reattachment and dysmorphopsia were measured preoperatively and 3 months after surgery. Results   The improvement of foveoschisis reattachment and dysmorphopsia in the treatment group was significantly better than those in the control group（P<0.05）.There was no significant difference in the improvement of visual acuity between the two groups（P>0.05）. Conclusion   The vitrectomy with ILM peeling is more effective for treatment of foveoschisis in high myopia. It can improve foveoschisis reattachment and dysmorphopsia, but it can not significantly improve visual outcomes.

Key words: Internal limiting membrane peeling; Foveoschisis; Vitrectomy