Case Report

Foveoschisis Without High Myopia

Leonardo C. Castro, MD; Jay S. Duker, MD

  • Ophthalmic Surgery, Lasers and Imaging
  • DOI: 10.3928/15428877-20100215-04
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Abstract

Two patients presented complaints of visual acuity worsening in one eye. During examination they showed optical coherence tomography (OCT) and clinical findings indistingishable from myopic foveoschisis, although both had minimal refractive errors. One of the patients was followed without surgery until the disease progressed and the visual acuity decreased. The second patient presented with lamellar macular hole associated with the foveoschisis. Both patients underwent pars plana vitrectomy with pre-retinal membranes peeling and intra-vitreal gas infusion and both developed full-thickness macular hole after surgery. The second patient underwent a second surgery with peeling of the internal limiting membrane (ILM) and with successful macular hole closure. OCT was performed at the initial and follow-up visits. In conclusion, foveoschisis may develop in eyes without high myopia. The causative factors, OCT findings and surgical outcomes are very similar to myopic foveoschisis.

AUTHORS

From New England Eye Center/Department of Ophthalmology/Tufts Unversity School of Medicine, Boston, Massachusetts.

Supported in part by a Research to Prevent Blindness Challenge Grant to the New England Eye Center/Department of Ophthalmology, Tufts University School of Medicine.

The authors have no financial or proprietary interest in the materials presented herein.

Address correspondence to Jay S. Duker, MD, 800 Washington St., Box 450, Boston, MA, 02111.

doi: 10.3928/15428877-20100215-04

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