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Myopic retinoschisis

Color and green filter fundusography: Image of macular hole/pseudo-hole OCT 1 line HD: Marked macular retinoscopy with almost complete macular hole

Color retinography and green filter: Normal-appearing macula OCT 1 line HD: Practically normal macula, with disappearance of retinoschisis.

Description

Myopic retinoschisis or foveoschisis was described by Takano in 1999. It is included within tractional myopic maculopathy. Myopic foveoschisis may present: epiretinal membranes, macular retinoschisis, lamellar or complete hole and foveolar detachment.

Comments

The peeling of the ILM in these surgeries is controversial. In this case, it was decided not to perform ILM peeling due to the high risk of complete macular hole.

Indication

A 51-year-old woman with high myopia presented with vision loss (VAcc 0.05) and metamorphopsia in the right eye, presenting macular retinoschisis. A vitrectomy with ERM peeling was performed, without internal limiting membrane (ILM) peeling, with C2F6 and positioning. The patient's progress was satisfactory with visual recovery to 0.3 and a marked reduction in metamorphopsia.