Abstract
BackgroundTo report the optical coherence tomographic (OCT) findings in 4 eyes before and after a spontaneous resolution of a myopic traction maculopathy (MTM).MethodRetrospective review of medical records including history, examination findings, fundus details, and finding of spectral-domain OCT (Cirrus HD-OCT, Carl Zeiss Meditec, Spectralis, Heidelberg Engineering, Heidelberg) findings in 4 eyes with a spontaneous resolution of MTM.ResultsA release of the vitreofoveal traction was detected by OCT in 3 eyes before the resolution of the MTM. A vitreofoveal separation in one eye and an increase in the length of a vitreous strand from the macula in two eyes indicated a reduction in the traction. In 2 eyes, an internal limiting membrane (ILM) detachment was seen by OCT as a membrane above the wrinkled inner retina at the perifoveal lesion, and a flattening of the ILM and inner retina was detected after the resolution. The detached ILM was shifted centrifugally on the macula and disappeared with the flattening of the adjacent retina which suggests that the release of tangential traction was caused by the dehiscence of ILM possibly at the proximal edges of the ILM detachment.ConclusionReleasing a vitreofoveal traction and flattening of the detached ILM may be signs of spontaneous resolution of a MTM. Vitrectomy is not required when these signs are detected.
Highlights
To report the optical coherence tomographic (OCT) findings in 4 eyes before and after a spontaneous resolution of a myopic traction maculopathy (MTM)
We report the optical coherence tomographic (OCT) findings of eyes before and after a spontaneous resolution of MTM
Case reports Case 1 A 57-year-old man noticed a blurring of vision and metamorphopsia in his left eye. His decimal best-corrected visual acuity (BCVA) was 0.8, and OCT showed a macular retinoschisis with foveal detachment in the left eye (Figure 1)
Summary
Case reports Case 1 A 57-year-old man noticed a blurring of vision and metamorphopsia in his left eye His decimal BCVA was 0.8, and OCT showed a macular retinoschisis with foveal detachment in the left eye (Figure 1). The macular retinoschisis was resolved but the ILM detachment remained flattened, and the vitreous opacity was located farther from the attachment of the vitreous strand. Case 3 An 88-year-old woman reported visual difficulties and metamorphopsia in her right eye Her BCVA was 0.2, and OCT examination showed macular retinoschisis and foveal detachment with a detachment of the ILM between the macula and the optic disc (Figure 3). Case 4 A 41-year-old woman reported visual disturbances and metamorphopsia in her right eye Her BCVA was 1.0 but OCT examination showed macular retinoschisis with a parafoveal posterior vitreous detachment pulling on the macula (Figure 3).
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