Foveal retinoschisis and retinal detachment in severely myopic eyes with posterior staphyloma

1999 ◽  
Vol 128 (4) ◽  
pp. 472-476 ◽  
Author(s):  
Morito Takano ◽  
Shoji Kishi
Keyword(s):  
Retinal Detachment ◽  
Posterior Staphyloma

scholarly journals Risk factors for ellipsoid zone integrity after macula-off rhegmatogenous retinal detachment repair

2020 ◽  
Author(s):  
Wei Fang ◽  
Miao Chen ◽  
Jing Zhai ◽  
Jiuke Li ◽  
Yiqi Chen ◽  
...  
Keyword(s):  
Risk Factors ◽  
Retinal Detachment ◽  
Rhegmatogenous Retinal Detachment ◽  
Silicone Oil ◽  
Vital Role ◽  
Hazard Ratio ◽  
Final Visit ◽  
Posterior Staphyloma ◽  
Ellipsoid Zone ◽  
Silicone Oil Tamponade

Abstract Background: ellipsoid zone (EZ) layer plays a vital role in visual performance of human retina, hereby we try to find some risk factors for EZ integrity after primary macula-off rhegmatogenous retinal detachment (RRD) repair. Methods: a retrospective cases study. Patients with macula-off RRD undergoing successful primary retinal repair surgery were reviewed and spectral domain optical coherence tomography images of them were analyzed. Comprehensive preoperative, intraoperative and postoperative clinical factors were screened. Results: A total of 118 patients (118 eyes) were enrolled in this study. The mean age of those patients was 52.16 years old (52.16 ±12.87 years). The follow-up time ranged from 0.1 to 84 months (10.21 ±14.81 months). 54 cases (45.76%) had their EZ fully reconstructed at final visit. The mid-quartile time of EZ reconstruction was 14.0 months (95% CI: 11.3 ~20.0 months). Multivariate proportional haphazard regression test revealed that the independent factors were: silicone oil tamponade (Hazard ratio=0.414, p=0.0400), posterior staphyloma (Hazard ratio=0.141, p=0.0021) and disorganization of retinal inner layer (Hazard ratio=0.167, p=0.0166). Conclusion: After successful retinal reattachment for macula-off retinal detachment, the mid-quartile time of EZ recovery was about 14 months. The independent risk factors for EZ recovery might include silicone oil tamponade, posterior staphyloma and disorganization of retinal inner layer.

Posterior Staphyloma and Retinal Detachment*

1963 ◽  
Vol 55 (2) ◽  
pp. 332-335 ◽  
Author(s):  
C.I. Phillips ◽  
J.G. Dobbie
Keyword(s):  
Retinal Detachment ◽  
Posterior Staphyloma

MACULAR BUCKLING FOR RETINAL DETACHMENT DUE TO MACULAR HOLE IN HIGHLY MYOPIC EYES WITH POSTERIOR STAPHYLOMA

Retina ◽  
2000 ◽  
Vol 20 (5) ◽  
pp. 445 ◽  
Author(s):  
MIKIO SASOH ◽  
SEIJI YOSHIDA ◽  
YOSHIKAZU ITO ◽  
KOJI MATSUI ◽  
SYUNSUKE OSAWA ◽  
...  
Keyword(s):  
Retinal Detachment ◽  
Macular Hole ◽  
Posterior Staphyloma

A customized posterior scleral reinforcement for myopic macular hole with retinal detachment and posterior staphyloma: A case report

2020 ◽  
pp. 112067212092726 ◽  
Author(s):  
Rino Frisina
Keyword(s):  
Retinal Detachment ◽  
Macular Hole ◽  
Pars Plana Vitrectomy ◽  
Internal Limiting Membrane ◽  
Epiretinal Membranes ◽  
Posterior Staphyloma ◽  
Retinal Reattachment ◽  
Pars Plana ◽  
Posterior Scleral Reinforcement ◽  
Myopic Macular Hole

The author describes a customized posterior scleral reinforcement, its manufacturing method, the rationale of its therapeutic effect, and the surgical technique of its implantation. A 54-year-old female patient with a case history of myopic macular hole with retinal detachment and posterior staphyloma, refractory to pars plana vitrectomy and peeling of internal limiting membrane, underwent posterior scleral reinforcement treatment. Retinal reattachment and macular hole closure were obtained. Best corrected visual acuity increased from light perception to 20/160 Snellen. The pars plana vitrectomy is mandatory to remove vitreoretinal tractions and epiretinal membranes; furthermore, the internal limiting membrane peeling makes retina less rigid. However, it may not be sufficient to allow retinal reattachment and it plays no preventive role in limiting posterior staphyloma progression. The rationale of posterior scleral reinforcement is to reduce retinal stretching, to contain posterior staphyloma, and to limit its progression over time.

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