Options for vitreoretinal surgery in patients with epiretinal membrane and foveoschisis

    Abstract

    Options for vitreoretinal surgery in patients with epiretinal membrane and foveoschisis

    S.D. Stebnev, V.S. Stebnev, I.V. Malov, N.I. Skladchikova, T.Yu. Vashchenko

    Medical University «Reaviz», Samara, Russia
Private Ophthalmological Clinic «Eye Surger y», Samara, Russia

    Purpose. To evaluate the functional and anatomical effect of vitreoretinal surgery in patients with epiretinal membranes and foveoschisis (ERM-foveoschisis) (a series of clinical cases).

    Material and methods. A retrospective analysis of 4 clinical cases was performed in patients aged 67.2±6.3 years with ERM-foveoschisis on artificial eyes. 3D vitreoretinal surgery was performed in various modifications: full circular maculorexis (group 1) and partial maculorexis with fovea coating (group 2). Functional and anatomical efficacy was monitored for up to 12 months.

    Results. Positive functional results were achieved in all patients. The Best-corrected visual acuity (BCVA) increased by 12 months of follow-up from 0.33±0.04 to 0.57±0.02 (p<0.05). There was no difference in visual acuity in patients of groups 1 and 2 by 12 months of follow-up (p=0.05).

    Anatomical restoration of the macular structure was most complete and rapid in patients of group 1. In patients of groups 1 and 2, the indices of maximum and minimum retinal thickness improved: up to 498.21±41.17 and 251.54±39.15 microns, respectively (p<0.05). Regression of foveoschisis in depth and extent occurred by 3 months. Macular volume decreased from 14.21±11.37 to 8.98±12.15 mm3 by 12 months (p<0.05).

    Conclusion. Progressive deterioration of functional and anatomical parameters in patients with ERM-foveoschisis is an indication for vitreoretinal surgery, which leads to positive anatomical and functional results.

    Key words: epiretinal membrane foveoschisis, vitreomacular interface, optical coherence tomography, vitreoretinal surgery

    For quoting: Stebnev S.D., Stebnev V.S., Malov I.V., Skladchikova N.I., Vashchenko T.Yu. Options for vitreoretinal surgery in patients with epiretinal membrane and foveoschisis. Point of view. East – West. 2024;11(4): 62–67.

    DOI: https://doi.org/10.25276/2410-1257-2024-4-62-67

    Corresponding author: Sergey D. Stebnev, stebnev2011@yandex.ru