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. 2001 Sep;85(9):1041–1043. doi: 10.1136/bjo.85.9.1041

Surgical removal of subfoveal choroidal neovascularisation in highly myopic patients

J Ruiz-Moreno, C de la Vega
PMCID: PMC1724121  PMID: 11520751

Abstract

AIM—To analyse the visual results obtained in the treatment of subretinal choroidal neovascularisation (CNV) in patients with high myopia by vitrectomy and extraction of the neovascular membrane.
METHODS—22 eyes of 22 patients with high myopia (>−6 dioptres and/or axial length >26 mm) with subfoveal CNV treated by extraction of the CNV were analysed retrospectively. The patients' mean age was 60.27 (SD 16.41) years (range 32-83 years). The mean follow up was 29.3 (9.9) months (range 12-42 months).
RESULTS—Best corrected visual acuity (BCVA) preoperatively was 0.09 (0.07) (range 0.01-0.3). After treatment BCVA was 0.12 (0.10) (range 0.01-0.4), a difference without statistical significance (p=0.03, Student's t test paired data). In four cases the CNV recurred, in three cases cataract developed that required extraction, and in one case retinal detachment occurred in the early postoperative period. Topical treatment was necessary in two cases to lower the intraocular pressure.
CONCLUSIONS—The treatment of subfoveal CNV in highly myopic patients by surgical removal by vitrectomy does not achieve any significant improvement of the BCVA.



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Selected References

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  1. Adelberg D. A., Del Priore L. V., Kaplan H. J. Surgery for subfoveal membranes in myopia, angioid streaks, and other disorders. Retina. 1995;15(3):198–205. doi: 10.1097/00006982-199515030-00003. [DOI] [PubMed] [Google Scholar]
  2. Avila M. P., Weiter J. J., Jalkh A. E., Trempe C. L., Pruett R. C., Schepens C. L. Natural history of choroidal neovascularization in degenerative myopia. Ophthalmology. 1984 Dec;91(12):1573–1581. doi: 10.1016/s0161-6420(84)34116-1. [DOI] [PubMed] [Google Scholar]
  3. Bottoni F., Perego E., Airaghi P., Cigada M., Ortolina S., Carlevaro G., De Molfetta V. Surgical removal of subfoveal choroidal neovascular membranes in high myopia. Graefes Arch Clin Exp Ophthalmol. 1999 Jul;237(7):573–582. doi: 10.1007/s004170050281. [DOI] [PubMed] [Google Scholar]
  4. Brancato R., Pece A., Avanza P., Radrizzani E. Photocoagulation scar expansion after laser therapy for choroidal neovascularization in degenerative myopia. Retina. 1990;10(4):239–243. doi: 10.1097/00006982-199010000-00002. [DOI] [PubMed] [Google Scholar]
  5. Cohen S. Y., Laroche A., Leguen Y., Soubrane G., Coscas G. J. Etiology of choroidal neovascularization in young patients. Ophthalmology. 1996 Aug;103(8):1241–1244. doi: 10.1016/s0161-6420(96)30515-0. [DOI] [PubMed] [Google Scholar]
  6. Curtin B. J., Karlin D. B. Axial length measurements and fundus changes of the myopic eye. Am J Ophthalmol. 1971 Jan;71(1 Pt 1):42–53. doi: 10.1016/0002-9394(71)91092-0. [DOI] [PubMed] [Google Scholar]
  7. Curtin B. J. Physiologic vs pathologic myopia: genetics vs environment. Ophthalmology. 1979 May;86(5):681–691. doi: 10.1016/s0161-6420(79)35466-5. [DOI] [PubMed] [Google Scholar]
  8. Curtin B. J. The posterior staphyloma of pathologic myopia. Trans Am Ophthalmol Soc. 1977;75:67–86. [PMC free article] [PubMed] [Google Scholar]
  9. Del Priore L. V., Hornbeck R., Kaplan H. J., Jones Z., Valentino T. L., Mosinger-Ogilvie J., Swinn M. Débridement of the pig retinal pigment epithelium in vivo. Arch Ophthalmol. 1995 Jul;113(7):939–944. doi: 10.1001/archopht.1995.01100070113034. [DOI] [PubMed] [Google Scholar]
  10. Grossniklaus H. E., Green W. R. Pathologic findings in pathologic myopia. Retina. 1992;12(2):127–133. doi: 10.1097/00006982-199212020-00009. [DOI] [PubMed] [Google Scholar]
  11. Hampton G. R., Kohen D., Bird A. C. Visual prognosis of disciform degeneration in myopia. Ophthalmology. 1983 Aug;90(8):923–926. doi: 10.1016/s0161-6420(83)80018-9. [DOI] [PubMed] [Google Scholar]
  12. Hotchkiss M. L., Fine S. L. Pathologic myopia and choroidal neovascularization. Am J Ophthalmol. 1981 Feb;91(2):177–183. doi: 10.1016/0002-9394(81)90170-7. [DOI] [PubMed] [Google Scholar]
  13. Johnson D. A., Yannuzzi L. A., Shakin J. L., Lightman D. A. Lacquer cracks following laser treatment of choroidal neovascularization in pathologic myopia. Retina. 1998;18(2):118–124. doi: 10.1097/00006982-199818020-00004. [DOI] [PubMed] [Google Scholar]
  14. Oshima Y., Harino S., Tano Y. Scanning laser ophthalmoscope microperimetric assessment in patients with successful laser treatment for juxtafoveal choroidal neovascularization. Retina. 1998;18(2):109–117. doi: 10.1097/00006982-199818020-00003. [DOI] [PubMed] [Google Scholar]
  15. Ruiz-Moreno J. M., Pérez-Santonja J. J. Dissection of the posterior hyaloid. Arch Ophthalmol. 1998 Oct;116(10):1392–1393. doi: 10.1001/archopht.116.10.1392. [DOI] [PubMed] [Google Scholar]
  16. Thomas M. A., Dickinson J. D., Melberg N. S., Ibanez H. E., Dhaliwal R. S. Visual results after surgical removal of subfoveal choroidal neovascular membranes. Ophthalmology. 1994 Aug;101(8):1384–1396. doi: 10.1016/s0161-6420(94)31172-9. [DOI] [PubMed] [Google Scholar]
  17. Uemura A., Thomas M. A. Subretinal surgery for choroidal neovascularization in patients with high myopia. Arch Ophthalmol. 2000 Mar;118(3):344–350. doi: 10.1001/archopht.118.3.344. [DOI] [PubMed] [Google Scholar]
  18. de Juan E., Jr, Machemer R. Vitreous surgery for hemorrhagic and fibrous complications of age-related macular degeneration. Am J Ophthalmol. 1988 Jan 15;105(1):25–29. doi: 10.1016/0002-9394(88)90116-x. [DOI] [PubMed] [Google Scholar]

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