Three cases of macular retinal detachment exacerbated during follow-up with myopic foveoschisis around myopic choroidal neovascularization
Purpose: Myopic choroidal neovascularization (CNV) and myopic traction maculopathy are major complications of pathologic myopia, and myopic foveoschisis (MF) is one of several symptoms that can be included under the general term “myopic traction maculopathy”; however, only a few cases will have MF a...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | American Journal of Ophthalmology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S245199362300107X |
| _version_ | 1797399051803557888 |
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| author | Kaori Sayanagi Chikako Hara Yoko Fukushima Shigeru Sato Ryo Kawasaki Kohji Nishida |
| author_facet | Kaori Sayanagi Chikako Hara Yoko Fukushima Shigeru Sato Ryo Kawasaki Kohji Nishida |
| author_sort | Kaori Sayanagi |
| collection | DOAJ |
| description | Purpose: Myopic choroidal neovascularization (CNV) and myopic traction maculopathy are major complications of pathologic myopia, and myopic foveoschisis (MF) is one of several symptoms that can be included under the general term “myopic traction maculopathy”; however, only a few cases will have MF around the myopic CNV. We report three cases with MF around myopic CNV that followed different clinical courses observed using swept-source optical coherence tomography. Observations: Case 1 was a 69-year-old woman with an axial length of 29.71 mm, myopic CNV, and MF in the left eye. One month after intravitreal injection of ranibizumab (IVR), a macular retinal detachment (RD) expanded. Vitrectomy and gas tamponade were performed during month 2; the macular RD and MF resolved gradually thereafter. Case 2 was a 54-year-old man with an axial length of 30.59 mm, myopic CNV, and MF in the right eye; after IVR, a macular RD developed and gradually expanded until month 4; the RD and MF resolved spontaneously and resolved during month 8. Case 3 was a 66-year-old woman with an axial length of 28.63 mm, myopic CNV, and MF in the left eye. A macular RD expanded 1 month after a previous vitrectomy for MF; after intravitreal injection of aflibercept, the macular RD and MF resolved gradually in month 12. In all cases, the CNV was accompanied by subretinal fluid, and two of the three cases had outer lamellar holes. Conclusion and Importance: The MF around the myopic CNV may lead to exacerbated MF and RD during follow-up, and the subretinal fluid caused by the CNV might facilitate MF progression. Since this condition is rare, further investigation of this entity is needed to determine appropriate management. |
| first_indexed | 2024-03-09T01:33:53Z |
| format | Article |
| id | doaj.art-0ed6f29594a34a328494c649e8d07007 |
| institution | Directory Open Access Journal |
| issn | 2451-9936 |
| language | English |
| last_indexed | 2024-03-09T01:33:53Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Ophthalmology Case Reports |
| spelling | doaj.art-0ed6f29594a34a328494c649e8d070072023-12-09T06:07:10ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362023-12-0132101899Three cases of macular retinal detachment exacerbated during follow-up with myopic foveoschisis around myopic choroidal neovascularizationKaori Sayanagi0Chikako Hara1Yoko Fukushima2Shigeru Sato3Ryo Kawasaki4Kohji Nishida5Corresponding author. Department of Ophthalmology E7, Osaka University Medical School, 2-2 Yamadaoka, Suita, 565-0871, Japan.; Department of Ophthalmology, Osaka University Medical School, Osaka, JapanDepartment of Ophthalmology, Osaka University Medical School, Osaka, JapanDepartment of Ophthalmology, Osaka University Medical School, Osaka, JapanDepartment of Ophthalmology, Osaka University Medical School, Osaka, JapanDepartment of Ophthalmology, Osaka University Medical School, Osaka, JapanDepartment of Ophthalmology, Osaka University Medical School, Osaka, JapanPurpose: Myopic choroidal neovascularization (CNV) and myopic traction maculopathy are major complications of pathologic myopia, and myopic foveoschisis (MF) is one of several symptoms that can be included under the general term “myopic traction maculopathy”; however, only a few cases will have MF around the myopic CNV. We report three cases with MF around myopic CNV that followed different clinical courses observed using swept-source optical coherence tomography. Observations: Case 1 was a 69-year-old woman with an axial length of 29.71 mm, myopic CNV, and MF in the left eye. One month after intravitreal injection of ranibizumab (IVR), a macular retinal detachment (RD) expanded. Vitrectomy and gas tamponade were performed during month 2; the macular RD and MF resolved gradually thereafter. Case 2 was a 54-year-old man with an axial length of 30.59 mm, myopic CNV, and MF in the right eye; after IVR, a macular RD developed and gradually expanded until month 4; the RD and MF resolved spontaneously and resolved during month 8. Case 3 was a 66-year-old woman with an axial length of 28.63 mm, myopic CNV, and MF in the left eye. A macular RD expanded 1 month after a previous vitrectomy for MF; after intravitreal injection of aflibercept, the macular RD and MF resolved gradually in month 12. In all cases, the CNV was accompanied by subretinal fluid, and two of the three cases had outer lamellar holes. Conclusion and Importance: The MF around the myopic CNV may lead to exacerbated MF and RD during follow-up, and the subretinal fluid caused by the CNV might facilitate MF progression. Since this condition is rare, further investigation of this entity is needed to determine appropriate management.http://www.sciencedirect.com/science/article/pii/S245199362300107XHigh myopiaMyopic foveoschisisMyopic choroidal neovascularizationAnti-vascular endothelial growth factor therapyRetinal detachmentMyopic traction maculopathy |
| spellingShingle | Kaori Sayanagi Chikako Hara Yoko Fukushima Shigeru Sato Ryo Kawasaki Kohji Nishida Three cases of macular retinal detachment exacerbated during follow-up with myopic foveoschisis around myopic choroidal neovascularization American Journal of Ophthalmology Case Reports High myopia Myopic foveoschisis Myopic choroidal neovascularization Anti-vascular endothelial growth factor therapy Retinal detachment Myopic traction maculopathy |
| title | Three cases of macular retinal detachment exacerbated during follow-up with myopic foveoschisis around myopic choroidal neovascularization |
| title_full | Three cases of macular retinal detachment exacerbated during follow-up with myopic foveoschisis around myopic choroidal neovascularization |
| title_fullStr | Three cases of macular retinal detachment exacerbated during follow-up with myopic foveoschisis around myopic choroidal neovascularization |
| title_full_unstemmed | Three cases of macular retinal detachment exacerbated during follow-up with myopic foveoschisis around myopic choroidal neovascularization |
| title_short | Three cases of macular retinal detachment exacerbated during follow-up with myopic foveoschisis around myopic choroidal neovascularization |
| title_sort | three cases of macular retinal detachment exacerbated during follow up with myopic foveoschisis around myopic choroidal neovascularization |
| topic | High myopia Myopic foveoschisis Myopic choroidal neovascularization Anti-vascular endothelial growth factor therapy Retinal detachment Myopic traction maculopathy |
| url | http://www.sciencedirect.com/science/article/pii/S245199362300107X |
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