Effects of Macular Buckle Versus Vitrectomy on Macular Schisis and Macular Detachment in Highly Myopic Eyes

A Randomized, Open Label, Single Center Study Comparing the Efficacy of Macular Buckle Versus Vitrectomy + Internal Limiting Membrane Peeling + Gas Tamponade on Macular Schisis and Concurrent Macular Detachment in Eyes With Highly Myopia

Macular schisis associated with macular detachment is a one of the complications of high myopia. There is controversy in the primary treatment for this situation. This study will compare the effects of macular buckling + gas injection versus vitrectomy + internal limiting membrane peeling + gas tamponade in a cohort of highly myopic eyes with macular retinal detachment associated with macular schisis.

A randomized, open label, single center study comparing the efficacy of macular muckle + gas injection versus internal limiting membrane peeling + gas tamponade on macular schisis associated with macular detachment in eyes with high myopia.

Inclusion Criteria:

• axial length ≥ 26.5 mm or refractive error (spherical equivalent) ≥ 8.0 diopter
• macular schisis
• macular retinal detachment
• evidence of posterior staphyloma on clinical examination

Exclusion Criteria:

• severe macular scar
• macular detachment which extended to the peripheral retina (i.e., extension beyond the major vascular arcades in more than one quadrant)
• prominent vitreomacular traction
• a history of vitrectomy or macular buckle
• intraocular active hemorrhage or inflammation
• any media opacity which precluded imaging or clinical evaluation of the macula