2M.D. Asistant, Dokuz Eylul University Faculty of Medicine, Department of Ophthalmology, Izmir/ TURKEY
3M.D. Professor, Dokuz Eylul University Faculty of Medicine, Department of Ophthalmology, Izmir/ TURKEY Purpose: To review the clinical features of patients with myopic macular retinoschisis (MMR).
Materials and Methods: The charts of five patients with the diagnosis of MMR diagnosed in our clinic between April 2006 and January 2015 were reviewed retrospectively and the clinical characteristics together with optical coherence tomographic findings were evaluated.
Results: Three patients (60%) were female (40%) and two, male. Mean age was 46±9 year (Range, 37-57 years). Mean best-corrected visual acuity (BCVA) with Snellen chart at the initial examination was 0.16±0.08 (Range,0.1-0.3). The involvement was unilateral in all patients. Two eyes were at stage 2, one eye, stage 3 and two eyes at stage 3-4. Mean axial length was 27.8±2.9 mm (Range, 25.5-33 mm) with IOLMaster 2. Mean spherical equivalent was -5.1±3.3 diopter (Range, -0.25/-9.5 D). Mean macular thickness was 651.6± 354.5 μm (Range, 340-1215 μm). Follow-up time varied between 6 months and 8 years (Mean 35.2±43.4 months). There was no difference in BCVA and macular thickness in four patients during the follow-up. While the macular thickness was decreased after the surgical intervention elsewhere, BCVA was not change in one of the patients.
Conclusion: Myopic macular retinoschisis is seen in high myopic eyes with posterior staphyloma and routine retinal imaging with optic chorence thomography in high myopes is crucial to detect macular schisis
Keywords : Myopic macular retinoschisis, optic coherence tomography, pathologic myopia