Optical coherence tomographic characteristics and surgical outcome of eyes with myopic foveoschisis.

AIM: To describe the optical coherence topographic (OCT) characteristics and outcome of vitrectomy with triamcinolone acetonide (TA)-assisted epiretinal tissue removal and gas tamponade in eyes with myopic foveoschisis (MF).

METHODS

We examined 101 myopic eyes, and the OCT characteristics of 18 eyes (18%) with an MF were studied. Six eyes underwent vitrectomy with TA-assisted epiretinal tissue removal and gas tamponade. The postoperative outcome measures were best-corrected visual acuity (BCVA), resolution of the MF as determined by OCT, and complications.

RESULTS

OCT scans showed an isolated MF in three (17%) eyes, and the MF were associated with two or more macular anomalies in 15 (83%) eyes. A foveal detachment was found in 13 (72%), lamellar macular hole in 4 (22%), and a tractional epimacular membrane in 11 (61%) of the 18 eyes. Six eyes underwent surgery, in which the epiretinal tissue was made visible by intravitreal TA and completely removed. The median BCVA significantly improved from 20/400 preoperatively (range, 20/1000-20/160) to 20/160 postoperatively (range, 20/200-20/40; P=0.03, Wilcoxon signed-rank test). The mean VA improved by 5.6 lines. OCT showed a complete reattachment of the fovea in four (67%) eyes and a small subfoveal or parafoveal detachment in two (33%) eyes.

CONCLUSIONS

MF is commonly observed in highly myopic eyes and most are associated with one or more macular anomalies. Vitrectomy with TA-assisted complete removal of all tractional premacular structures followed by gas tamponade resulted in good visual and anatomical outcomes for treating MF.