Spontaneous resolution of foveal detachment in traction maculopathy in high myopia unrelated to posterior vitreous detachment

BMC Ophthalmology

Research Article

Tzyy-Chang Ho¹  Tso-Ting Lai¹  Chung-May Yang² 

[1] Department of Ophthalmology, National Taiwan University Hospital, No. 7, Chun-Shan S. Rd., 100, Taipei City, Taiwan;Department of Ophthalmology, National Taiwan University Hospital, No. 7, Chun-Shan S. Rd., 100, Taipei City, Taiwan;College of Medicine, National Taiwan University, No.1 Jen-Ai Rd. Sec. 1, 100, Taipei City, Taiwan;

关键词: Foveal detachment;    High myopia;    Foveoschisis;    Optical coherence tomography;    Posterior vitreous detachment;   

DOI  :  10.1186/s12886-016-0195-3

 received in 2015-02-10, accepted in 2016-02-09,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundFoveal detachment associated with foveoschisis usually takes a progressive course, and is associated with a poor visual outcome. The purpose of this study was to report the spontaneous resolution of foveal detachment in patients with myopic traction maculopathy without posterior vitreous detachment.MethodsA retrospective study involving eight cases of high myopia with foveoschisis and foveal detachment in which the subfoveal fluid had spontaneously resolved. The clinical characteristics and optical coherence tomography (OCT) findings were described.ResultsAll cases involved predominant schisis in the outer retina, with six showing internal limiting membrane detachment. The average central foveal thickness was 445.1 μm, and the average foveal detachment height was 271.5 μm. None of the cases involved traction of the vitreomacular interface or posterior vitreous detachment (PVD), either before or after the resolution of foveal detachment. In seven cases, the mean best-corrected visual acuity improved after foveal reattachment.ConclusionsSpontaneous reattachment not associated with PVD can occur in cases of high myopic traction maculopathy, especially in those without obvious vitreomacular traction.

【 授权许可】

CC BY   
© Lai et al. 2016