Extensive Foveoschisis in an Emmetropic Patient Associated with Vitreomacular Traction: A Case Report
International Journal of Medical and Pharmaceutical Case Reports,
Page 95-99
DOI:
10.9734/ijmpcr/2022/v15i4319
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
How to Cite
References
Raizada K, Sahu J. Myopic Foveoschisis. StatPearls. Treasure Island (FL): StatPearls Publishing Copyright © 2022, StatPearls Publishing LLC.; 2022.
Molday RS, Kellner U, Weber BHF. X-linked juvenile retinoschisis: clinical diagnosis, genetic analysis, and molecular mechanisms. Prog Retin Eye Res. 2012;31(3):195-212.
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.
Sayanagi K, Morimoto Y, Ikuno Y, Tano Y. Spectral-domain optical coherence tomographic findings in myopic foveoschisis. Retina. 2010;30(4):623-8.
Ikuno Y. Pathophysiology of Myopic Foveoschisis. In: Chang A, Mieler WF, Ohji M, editors. Macular Surgery: Current Practice and Trends. Singapore: Springer Singapore. 2020;297- 303.
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-
-
Abstract View: 126 times
PDF Download: 34 times