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Clinical outcome of cataract surgery for highly myopic retinoschisis

Poster Details

First Author: W.Qiang CHINA

Co Author(s):                  

Abstract Details


To evaluate retinal and visual changes after cataract surgery in patients with highly myopic retinoschisis.


Department of Ophthalmology, Six People? s Hospital Affiliated of Shanghai Jiaotong University, Shanghai, China.


This retrospective study included 35 eyes of 28 patients with highly myopic retinoschisis that received phacoemulsification and intraocular lens implantation. The preoperative and postoperative best-corrected visual acuity (BCVA) was recorded. The minimal foveal thickness of retina (MFT) and maximum neuroretinal thickness (MNRT) were measured by optical coherence tomography (OCT).


The mean follow-up period was 8.4 months ± 4.3 (SD). Compared to the mean preoperative BCVA of 0.88 ± 0.73 logMAR, the postoperative BCVA was improved at 1 week (0.29 ± 0.31 logMAR; P < 0.0001), 1 month (0.28 ± 0.30 logMAR; P < 0.0001), 3 months (0.27 ± 0.36 logMAR; P < 0.0001), and 6 months after surgery (0.29 ± 0.32 logMAR; P <0.0001). The MFT and MNRT were not significantly different from the preoperative level at each postoperative visit (P > 0.05). Eyes with non-foveal retinoschisis had significantly better BCVA than those with foveal retinoschisis throughout the follow-up period of 1 week, and 1, 3, and 6 months ?P = 0.049?0.016?0.040, and 0.045?respectively). Compared with preoperative values, the postoperative logMAR BCVA of foveal retinoschisis eyes without macular holes was positively correlated with MFT at 1, 3, and 6 months after surgery (P = 0.017, 0.025, and 0.008, respectively). The postoperative MFT and MNRT in the 19 eyes combined with vitreoretinal traction were not significantly different from baseline at each visit (P > 0.05). Changes in MFT and MNRT from baseline were not significantly associated with accumulated energy complex parameter (AECP) or axial length (P > 0.05).


Visual acuity improved and retinal morphology remained stable after phacoemulsification in patients with highly myopic retinoschisis. Postoperative BCVA depended mainly on the location and degree of the retinoschisis. FINANCIAL DISCLOSURE?: No

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