International Journal of Medical and Pharmaceutical Case Reports

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

  • Andreas Katsimpris
  • Aristotelis Karamaounas
  • Dimitra Mitsopoulou
  • Ilias Georgalas
  • Petros Petrou

International Journal of Medical and Pharmaceutical Case Reports, Page 95-99
DOI: 10.9734/ijmpcr/2022/v15i4319
Published: 13 December 2022

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Abstract


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.


Keywords:
  • Foveoschisis
  • vitreomacular traction
  • retina
  • vitreoretinal surgery
  • Full Article - PDF
  • Review History

How to Cite

Katsimpris, A., Karamaounas, A., Mitsopoulou, D., Georgalas, I., & Petrou, P. (2022). Extensive Foveoschisis in an Emmetropic Patient Associated with Vitreomacular Traction: A Case Report. International Journal of Medical and Pharmaceutical Case Reports, 15(4), 95-99. https://doi.org/10.9734/ijmpcr/2022/v15i4319
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References

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Vogt D, Stefanov S, Guenther SR, Hagenau F, Wolf A, Priglinger SG, et al. Comparison of Vitreomacular Interface Changes in Myopic Foveoschisis and Idiopathic Epiretinal Membrane Foveoschisis. Am J Ophthalmol. 2020;217: 152-61.

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Ikuno Y. Current concepts and cutting-edge techniques in myopic macular surgeries. Taiwan Journal of Ophthalmology. 2014;4(4):147-51.

Yun L-N, Xing Y-Q. Long-term outcome of highly myopic foveoschisis treated by vitrectomy with or without gas tamponade. International Journal of Ophthalmology. 2017;10(9):1392-
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