Posterior vitreous detachment and macular hole formation in myopic foveoschisis

Macular Buckling for Eyes With Myopic Foveoschisis Secondary to Posterior Staphyloma

“…8 Reshaping the posterior scleral wall by means of macular buckling corrects the disproportion between the retina and the elongated sclera and seems a reasonable surgical approach to treat MF. 20 In addition, macular buckling brings the RPE closer to the retina, reinforcing the already weak adherence between the RPE and the neurosensory retina because of the severe myopic chorioretinal atrophy. 21,22 Surgical treatment of degenerative myopia was introduced .50 years ago.…”

Assessment of macular retinal thickness and volume in normal eyes and highly myopic eyes with third-generation optical coherence tomography

“…18 The elevated foveola and fovea area in young, healthy highly myopic eyes might explain the high incidence of macular hole, which may be associated with retinal detachment, myopic traction maculopathy, and foveoschisis. 10,11,[19][20][21][22][23] Figure 2 OCT scans of the macula (both eyes) in normal eyes (a) and highly myopic eyes (b) including the colour scale and scan schematic. The foveola and fovea (1 mm) were thicker but the inner macular area (3 mm) and outer macular area (6 mm) were thinner in highly myopic eyes.…”

1000 cSt silicone oil vs heavy silicone oil as intraocular tamponade in retinal detachment associated to myopic macular hole

“…The pathophysiological mechanism is uncertain, but it is thought to involve several features of pathological myopia including antero-posterior and tangential traction, posterior staphyloma, and retinal pigment epithelium atrophy [1][2][3]. Several therapeutical strategies have been reported, including pars plana vitrectomy (PPV) with gas tamponade [4], additional laser photocoagulation of the hole margin [5,6], episcleral buckling of the macular area [7], and infolding of the sclera [8].…”