Vitrectomy with Internal Limiting Menbrane Peeling for Highly Myopic Foveoschisis

Abstract

Purpose: To report the case of a high myopic patient with foveoschisis and relatively good vision managed by internal limiting membrane (ILM) peeling and perfluorocarbon tamponade.Methods: A case report.Results: A 45-year-old woman was a victim of extensive myopic foveoschisis in her right eye. Her best-corrected visual acuity (BCVA) was 20/50. Pars plana vitrectomy (PPV) with ILM peeling followed by perfluoropropane tamponade had been performed, and intra-retinal space decreased significantly 2 days after operation. Two months later, the BCVA improved to 20/30, and the intra-retinal space was almost closed with a small amount of subretinal fluid accumulation. At eight months, the retina was completely reattached.Conclusions: The preoperative vision of patients with foveoschisis may be relatively good. PPV with ILM peeling resulted in favorable visual and anatomical outcomes with treatment of foveoschisis in highly myopic eyes.