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The effectiveness and safety of posterior scleral reinforcement with vitrectomy for myopic foveoschisis treatment: A systematic review and meta-analysis

Graefe's Archive for Clinical and Experimental Ophthalmology Dec 16, 2019

Cao K, Wang J, Zhang J, et al. - Experts included 14 studies (311 eyes) for a systematic review and meta-analysis to examine the efficiency and safety of posterior scleral reinforcement (PSR) combined with vitrectomy for myopic foveoschisis (MF) treatment. They found the pooled complication rate was 9%. Analysis indicated that PSR combined with vitrectomy enhance 80% MF people best-corrected visual acuity with the average benefit of − 0.46 logMAR unit. Individuals with AL ≥ 30 mm profited more in comparison to people with AL < 30 mm with the average variance in AL of − 1.74 mm. They discovered that the retinal reattachment rate is up to 93% and the macular hole (MH) closure rate is 65%. Nearly 9% of people would suffer from extrusion, choroidal atrophy, choroidal neovascularization, and other complications. Moreover, the results were not affected by the presence of MH, illness recurrence, or ILM peeling.
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