Vitrectomy for Myopic Traction Maculopathy

Macular and visual outcomes after cataract extraction for highly myopic foveoschisis

“…20 The internal limiting membrane may also play a role in myopic foveoschisis. Several studies [4][5][6][7][8]24,26,27 report that the anatomy and function of the macula were restored after vitrectomy and internal limiting membrane peeling for myopic foveoschisis. Finally, retinal vascular traction is another proposed mechanism of myopic foveoschisis.…”

“…Finally, retinal vascular traction is another proposed mechanism of myopic foveoschisis. 5,24,27 Myopic foveoschisis is thought to impair macular function and, in some cases, to result in macular hole formation and retinal detachment. 5,10,28 As mentioned, some cases of myopic foveoschisis remain stable for many years without affecting vision.…”

“…1 Vitrectomy, internal limiting membrane peeling, and gas tamponade have been reported to be useful treatments. 2,[4][5][6][7][8][9] Although the results in these small series were encouraging in some cases, serious complications also occurred. 4,10 Moreover, in a study of 7 patients with foveal retinal detachment, no patient reported recent visual impairment.…”

Myopic traction maculopathy

“…1 Panretinal laser photocoagulation (PLP) in peripheral retina has been shown to reduce the VEGF production. 2 Here, we report 1-year results of a prospective randomized single-masked trial comparing 1.25 mg intravitreal bevacizumab pro-re-nata (PRN) monotherapy and PRN therapy in combination with PLP at 1 month in treatment of naive eyes with macular edema (ME) secondary to CRVO.…”

Retinosquises

“…Informações sobre esta molés-tia começaram a surgir a desde 1898 (1)(2)(3)(4) . As RQ secundárias (miopia (5)(6)(7)(8)(9)(10)(11)(12)(13)(14) , diabetes mellitus (15) , anemia falciforme (16) , "shaken baby" (17) , glaucoma agudo (18) , entre outras) não compõem o foco desta revisão. Todavia é conveniente sublinhar os vínculos existentes na miopia degenerativa com a foveosquises em 9-30%, agregando na patogenia o estiramento tecidual com as comutações da interface vítreorretiniana e a coexistência do estafiloma posterior (8)(9)(10)(11)(12)(13)(14) .…”