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¹M.D. Asistant, Beyoglu Eye Training and Research Hospital, İstanbul/ TURKEY
²M.D.. Beyoglu Eye Training and Research Hospital, İstanbul/TURKEY
³M.D. Assocciate Professor, Beyoglu Eye Training and Research Hospital, İstanbul/TURKEY
⁴M.D. Professor, Beyoglu Eye Training and Research Hospital, İstanbul/TURKEY To present the clinical and imaging findings and treatment results of a patient with myopic choroidal neovascularization and foveoschisis. A 45-year old female patient admitted with the complaint of visual acuity loss in the left eye. Best corrected visual acuity was 20/40 in the right eye, and 20/200 in the left eye. Anterior segment examination was normal. There was a subretinal hemorrhage at the inferior part of the fovea in the left eye. In the light of these findings, the patient was diagnosed as myopic CNV, and underwent two consecutive monthly intravitreal bevacizumab injections. After the treament, BCVA improved to 20/64, subretinal hemorrhage disappeared, and there was a window defect in FFA in the left eye. After seven months of follow-up time, BCVA decreased to 20/80 and OCT revealed foveoschisis in the left eye. The patient was informed about the disease and offered to undergo pars plana vitrectomy with internal limiting membrane peeling. She did not want to undergo surgery, and was called for periodic follow-up examinations. Degenerative myopia may lead to severe visual acuity loss because of choroidal neovascularization, Fuchs spot, Lacquer cracks that involve the fovea, myopic foveoschisis, and the combinations of these. It is very important to detect and treat these problems via different imaging and treatment modalities for preventing visual loss. Keywords : Degenerative myopia, foveoschisis, koroidal neovascularization