Natural Course and Surgical Management of High Myopic Foveoschisis

Abstract

Purpose: To describe the spectral-domain optical coherence tomographic characteristics, natural course and surgical management for eyes with myopic foveoschisis. Methods: The medical records of 39 consecutive patients (56 eyes) with myopic foveoschisis were retrospectively reviewed. Pars plana vitrectomy with internal limiting membrane peeling and Brilliant Blue G staining was performed on 16 symptomatic eyes (14 patients). Results: Optical coherence tomography at baseline showed an isolated foveoschisis in 62.5%, foveal detachment in 21.4%, and a lamellar hole in 16.1% of the eyes. After a mean follow-up period of 15.7 months, 1.8% of the eyes developed a full-thickness macular hole and 28.5% of the eyes required surgery. The mean preoperative visual acuity (VA) was 20/63 and the mean central retinal thickness (CRT) was 507.6 µm. The mean postoperative VA was 20/40 and the mean CRT 282.9 µm. Anatomical success was achieved in 75% of the eyes at a mean of 3.3 months after surgery, and 81.2% of the eyes had an improvement of 2 lines of VA. Conclusion: Myopic foveoschisis remained stable in most eyes; however, 28.5% of the eyes had decreases in VA secondary to progression of the foveoschisis and required surgery.

The efficacy and safety of posterior scleral reinforcement using genipin cross-linked sclera for macular detachment and retinoschisis in highly myopic eyes

“…Vitrectomy surgery releases these intraocular forces. Rey et al 1 studied pars plana vitrectomy and internal limiting membrane peeling and also achieved good anatomical and functional results. Anatomical success was achieved in 75% of the eyes, with a mean follow-up period of 3.3 months after surgery.…”

Visual Acuity Outcomes of Ranibizumab Treatment in Pathologic Myopic Eyes With Macular Retinoschisis and Choroidal Neovascularization

“…However, a previous study reported full-thickness macular hole formation within a mean follow-up period of 15 months. 22 Another explanation may be found in a possible interaction between mCNV, continuous anti-VEGF treatment, and MRS.…”

Modified Posterior Scleral Reinforcement as a Treatment for High Myopia in Children and Its Therapeutic Effect

“…Morbidity statistics show that 80%-90% of high school children are myopic in urbanized East Asia and that 10%-20% of them eventually develop high myopia [2, 3]. Among the myopic children, high myopia is the most worrying factor [4]. The most obvious characteristic of high myopia is gradual growth in axial length, which increases rapidly in childhood and adolescence and then grows out of control in adulthood [5].…”