A Review of Current Myopic Foveoschisis Management Strategies

Dolar-Szczasny, Joanna; Święch-Zubilewicz, Anna; Mackiewicz, Jerzy

doi:10.1080/08820538.2019.1610180

Cited by 11 publications

(10 citation statements)

References 63 publications

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“…Due to the relatively high heterogeneity in the clinical presentation of retinoschisis, it remains a challenging clinical entity, where its differential diagnosis should include several ocular diseases like myopic foveoschsis, optic disc pit maculopathy, X-linked retinoschisis and central serous chorioretinopathy [2]. However, during the last decade, the advances in ophthalmic imaging, namely OCT, in combination with detailed history taking and clinical examination have significantly assisted the accurate diagnosis of foveoschisis [1].…”

Section: Discussionmentioning

confidence: 99%

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Extensive Foveoschisis in an Emmetropic Patient Associated with Vitreomacular Traction: A Case Report

Katsimpris

Karamaounas²,

Mitsopoulou³

et al. 2022

IJMPCR

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Aims: To report a rare case of foveoschisis caused by vitreomacular traction in a young emmetropic female patient. Presentation of the Case: A 37-year-old woman, without any systemic or ocular disorders, presented with progressively reduced visual acuity in her right eye over the last 3 months. Best-corrected visual acuity (BCVA) was counting fingers in the right eye. Optical coherence tomography revealed foveoschisis with foveal detachment in her right eye, which was successfully treated with pars plana vitrectomy without internal limiting membrane peeling and gas tamponade. Three months post-operatively the BCVA improved to 6/12. Discussion and Conclusion: Although high myopia is the main cause of foveoschsis, vitreomacular traction can rarely be associated with foveoschisis, specially in young patients without myopia or any other ocular history. In these cases pars plana vitrectomy with extensive posterior vitreous detachment induction may have favorable visual outcomes.

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Section: Discussionmentioning

confidence: 99%

“…Foveoschisis is a rare cause of vision loss in adults which has been mainly associated with high myopia [1]. It represents a splitting of the inner retinal layers at the fovea, due to the progressive scleral ectasia and constitutes one of the several complications of high myopia.…”

Section: Introductionmentioning

confidence: 99%

Extensive Foveoschisis in an Emmetropic Patient Associated with Vitreomacular Traction: A Case Report

Katsimpris

Karamaounas²,

Mitsopoulou³

et al. 2022

IJMPCR

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“…However, the surgical approach for FD is controversial, including the choice of tamponade materials, prognostic factors and long-term effectiveness. Several studies have investigated the vitrectomy approach for retinoschisis to block it evolution to FD or more severe maculopathy [ 9 , 10 ]. However, the natural course of macular retinoschisis is variable.…”

Section: Introductionmentioning

confidence: 99%

Long-term surgical outcomes and prognostic factors of foveal detachment in pathologic myopia: based on the ATN classification

Feng

Zhou

et al. 2022

BMC Ophthalmol

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Background To investigate the long-term surgical outcomes and prognostic factors of foveal detachment (FD) in pathological myopia. Methods This retrospective observational study included 59 patients with FD (61 eyes) who underwent pars plana vitrectomy at Shanghai General Hospital between June 2017 and July 2018 with follow-up for at least 24 months. Comprehensive ophthalmic examinations, including best-corrected visual acuity (BCVA) and swept-source optical coherence tomography, were assessed. Preoperative myopic maculopathy was evaluated according to the ATN classification. Results FD completely resolved in 59 of 61 eyes (96.7%). Mean duration of retinal reattachment was 12.10 ± 8.10 months. Mean logMAR BCVA improved from 1.34 ± 0.52 to 0.83 ± 0.43 at 24 months postoperatively (P < 0.001). Secondary macular hole occurred in 8 eyes (13.1%) with a mean period of 3.4 ± 4.1 weeks after primary surgery. In regression analyses, baseline myopic atrophy maculopathy (MAM) (B = 0.213, P = 0.005) and vitreomacular traction (VMT) (B = 0.292, P = 0.007) were adverse prognostic factors for postoperative BCVA. A more severe MAM revealed a delay in retinal reattachment (B = 5.670, P = 0.002). FD eyes with VMT (OR = 1.309, P = 0.003) or outer lamellar macular hole (O-LMH) (OR = 1.369, P < 0.001) were risk factors for postoperative secondary macular hole. Conclusions Vitrectomy was effective in the long-term for treating FD. Careful consideration is needed for those with VMT or O-LMH due to the high risk of secondary macular hole after vitrectomy. FD eyes with more severe MAM tended to have poorer postoperative BCVA and extended periods of retinal reattachment.

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“…Myopia foveoschisis (MF), also known as myopic traction maculopathy, is a common pathological myopic complication that leads to a gradual and painless diminution of vision. Among the 2% of the world population suffering from pathological myopia [ 2 ], MF accounts for 8–34% [ 3 ]. MF on optical coherence tomography (OCT) usually manifests the splitting of the inner retinal layer with column-like formations [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Vitrectomy with Inverted Fovea-Sparing Internal Limiting Membrane for Myopic Foveoschisis

Wang

et al. 2022

Journal of Ophthalmology

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Purpose. To evaluate the efficacy and safety of vitrectomy with inverted fovea-sparing internal limiting membrane, as a modified surgical technique in the treatment of the eyes with myopic foveoschisis. Methods. This study was based on a consecutive, interventional case series. A standard 25-gauge (25-G), 3‐port pars plana vitrectomy combined with inverted fovea-sparing internal limiting membrane was performed on 13 eyes. Preoperative and postoperative best-corrected visual acuity, optical coherence tomography image, and central foveal thickness were analyzed. Patients were followed up for at least 6 months. Results. All 13 eyes showed dramatical resolution of myopic foveoschisis during the follow-up. The mean logarithm of minimum angle of resolution best-corrected visual acuity showed remarkable improvement from 1.06 ± 0.42 to 0.45 ± 0.25 ( p < 0.0001 ; paired t-test). The mean central foveal thickness significantly decreased from 479.62 ± 113.16 μm to 372.38 ± 88.12 μm, 316.18 ± 73.97 μm, and 272.40 ± 61.32 μm postoperatively at 1 month, 3 months, and 6 months, respectively ( p < 0.0001 ; paired t-test; preoperation vs. latest follow-up). Conclusions. Vitrectomy with inverted fovea-sparing internal limiting membrane can resolve myopic foveoschisis with high efficacy and safety.

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A Review of Current Myopic Foveoschisis Management Strategies

Cited by 11 publications

References 63 publications

Extensive Foveoschisis in an Emmetropic Patient Associated with Vitreomacular Traction: A Case Report

Extensive Foveoschisis in an Emmetropic Patient Associated with Vitreomacular Traction: A Case Report

Long-term surgical outcomes and prognostic factors of foveal detachment in pathologic myopia: based on the ATN classification

Vitrectomy with Inverted Fovea-Sparing Internal Limiting Membrane for Myopic Foveoschisis

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