Natural Course of Myopic Traction Maculopathy and Factors Associated With Progression or Resolution

Shimada, Noriaki; Tanaka, Yuichiro; Tokoro, Takashi; Ohno‐Matsui, Kyoko

doi:10.1016/j.ajo.2013.06.031

Cited by 165 publications

(204 citation statements)

References 19 publications

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“…MRS occurred most often in patients over 50 years in previous reports, and was usually accompanied with staphyloma, severe myopic macular atrophy and premacular structures such as macular epiretinal membrane or partially detached posterior hyaloids, which makes it difficult to identify what causes MRS123456789101213. A multivariate analysis showed that three factors were independently associated with foveoschisis in high myopia: axial length, macular chorioretinal atrophy, and vitreoretinal traction14.…”

Section: Discussionmentioning

confidence: 93%

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Myopic Macular Retinoschisis in Teenagers: Clinical Characteristics and Spectral Domain Optical Coherence Tomography Findings

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You

Zhe

et al. 2016

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To investigate the morphological characteristics of myopic macular retinoschisis (MRS) in teenagers with high myopia, six male (9 eyes) and 3 female (4 eyes) teenagers with typical MRS identified from chart review were evaluated. All cases underwent complete ophthalmic examinations including best corrected visual acuity (BCVA), indirect ophthalmoscopy, colour fundus photography, B-type ultrasonography, axial length measurement, and spectral-domain optical coherence tomography (SD-OCT). The average age was 17.8 ± 1.5 years, average refractive error was −17.04 ± 3.04D, average BCVA was 0.43 ± 0.61, and average axial length was 30.42 ± 1.71 mm. Myopic macular degenerative changes (MDC) by colour fundus photographs revealed Ohno-Matsui Category 1 in 4 eyes, and Category 2 in 9 eyes. Posterior staphyloma was found in 9 eyes. SD-OCT showed outer MRS in all 13 eyes, internal limiting membrane detachment in 7 eyes, vascular microfolds in 2 eyes, and inner MRS in 1 eye. No premacular structures such as macular epiretinal membrane or partially detached posterior hyaloids were found. Our results showed that MRS rarely occurred in highly myopic teenagers, and was not accompanied by premacular structures, severe MDC, or even obvious posterior staphyloma. This finding indicates that posterior scleral expansion is probably the main cause of MRS.

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Section: Discussionmentioning

confidence: 93%

“…Although myopic macular retinoschisis (MRS) was first identified in 1999 by using optical coherence tomography (OCT), the initiation cause and pathogenesis of MRS remain unclear12345. Most MRS was reported in older patients over 50, no report showed it occurred in teenager patients12345678.…”

mentioning

confidence: 99%

Myopic Macular Retinoschisis in Teenagers: Clinical Characteristics and Spectral Domain Optical Coherence Tomography Findings

Sun

You

Zhe

et al. 2016

Sci Rep

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“…The natural history, in contrast, commonly results in progressive visual loss due to increased stretching and distortion, and can lead to a foveal retinal detachment or MH 6. One report suggests that the maculopathy may resolve in 3.9% of patients, but most have progressive vision loss requiring surgery 13. Many series have evaluated PPV for this condition although few examine patient subgroups 7–12…”

Section: Discussionmentioning

confidence: 99%

Pars plana vitrectomy in patients with myopic macular retinoschisis

et al. 2014

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“…6 A series of 207 eyes with myopic foveoschisis found 8 cases of improvement with release of retinal traction. 7 To our knowledge, there are no reported cases of spontaneous improvement in retinoschisis patients without subretinal fluid or release of retinal traction. This patient lacked potential confounders, including carbonic anhydrase inhibitor use, posterior vitreous detachment, optic nerve pit, or niacin use.…”

Section: Commentmentioning

confidence: 99%

Spontaneous improvement in myopic foveoschisis

Paulus

Bressler

2014

Eye

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Sir, Spontaneous improvement in myopic foveoschisisWe present the first case of bilateral myopic foveoschisis without subretinal fluid with spontaneous improvement in both eyes. Case reportA 51-year-old Caucasian woman with À 15 D myopia in both eyes and a history of choroidal neovascularization treated with ranibizumab OD prior to presentation to the authors presented with gradual decreased vision in both eyes that developed over several years. She had a history of radioactive iodine use, hypothyroidism, and took levothyroxine.Visual acuity was 20/125 OD and 20/40 OS. Examination demonstrated lacquer cracks of both eyes without hemorrhage or an optic nerve pit. OCT showed myopic foveoschisis of both eyes (Figure 1). Three years later, she underwent uncomplicated phacoemulsification and lens insertion OS. Eight months later, she reported gradual improvement in vision in both eyes, with improvement in visual acuity to 20/80 OD and 20/20 OS, no posterior vitreous detachment, but improvement in the myopic foveoschisis OU (Figure 2).

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Natural Course of Myopic Traction Maculopathy and Factors Associated With Progression or Resolution

Cited by 165 publications

References 19 publications

Myopic Macular Retinoschisis in Teenagers: Clinical Characteristics and Spectral Domain Optical Coherence Tomography Findings

Myopic Macular Retinoschisis in Teenagers: Clinical Characteristics and Spectral Domain Optical Coherence Tomography Findings

Pars plana vitrectomy in patients with myopic macular retinoschisis

Spontaneous improvement in myopic foveoschisis

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