%0 Journal Article
%T Resolving Myopic Foveoretinal Detachment by Fovea-Saving Internal Limiting Membrane Peeling: A Case-Series Report
%A Miguel Angel Quiroz-Reyes
%A Erick Andres Quiroz-Gonzalez
%A Miguel Angel Quiroz-Gonzalez
%A Virgilio Lima-Gomez
%J Open Journal of Ophthalmology
%P 106-121
%@ 2165-7416
%D 2023
%I Scientific Research Publishing
%R 10.4236/ojoph.2023.131011
%X <strong>Background:</strong> In highly myopic eyes, myopic foveoschisis (MF), the earliest stage of myopic traction maculopathy (MTM), is present in up to 34% of patients with pathologic myopia and slowly progresses to form foveoretinal detachment (FRD) or macular hole (MH) with or without macular hole retinal detachment (MHRD) as a part of its natural history. <strong>Aim:</strong> To describe the microstructural and functional results in three highly myopic eyes that underwent macular surgery for early-stage MTM. The last postoperative structural findings were correlated with the final vision and macular automated microperimetry evaluation. <strong>Methods:</strong> We retrospectively reviewed three highly myopic eyes that underwent successful fovea-saving internal limiting membrane (FS-ILM) macular surgery for chronic FRD at Oftalmologia Integral ABC, Mexico City, Mexico. We performed postoperative multimodal microstructural and functional evaluations, including SD-OCT, SS-OCT, and microperimetric macular examinations. <strong>Results:</strong> There was a substantial difference between best-corrected visual acuity (BCVA) preoperatively and postoperatively in all three cases. Postoperative surgery was associated with significant improvement in visual acuity confirmed using a paired-sample permutation test. The mean presurgical BCVA value (LogMAR; mean ¡À SE) was ~0.83 ¡À 0.15, and the postsurgical value was ~0.43 ¡À 0.52 (P = 0.00065). The myopic foveoretinal detachment evaluation was ~7.3 ¡À 3.5 months, with a mean postoperative follow-up time of ~14 ¡À 4.08 months. Furthermore, postoperative multimodal imaging tests demonstrated an abnormal microstructural foveal SS-OCT pattern without evidence of macular hole (MH) development at the postoperative follow-up. Macular microperimetry confirmed a subclinical reduced macula threshold sensitivity with an anomalous retinal sensitivity analysis map and a stable central foveal fixation site. <strong>Conclusions:</strong> Even with the successful microstructural disappearance of myopic macular detachment, the last multidisciplinary functional and structural assessments demonstrated different subclinical macular alterations.
%K Automated Microperimetry
%K Myopic Foveoretinal Detachment
%K Myopic Foveoschisis
%K Myopic Macular Hole
%K Myopic Traction Maculopathy
%K Posterior Staphyloma
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=123211