Extensive Foveoschisis in an Emmetropic Patient Associated with Vitreomacular Traction:  A Case Report

Andreas Katsimpris; Aristotelis Karamaounas; Dimitra Mitsopoulou; Ilias Georgalas; Petros Petrou

doi:10.9734/ijmpcr/2022/v15i4319

Research Article Open access CC BY 4.0

Extensive Foveoschisis in an Emmetropic Patient Associated with Vitreomacular Traction: A Case Report

Andreas Katsimpris, Aristotelis Karamaounas, Dimitra Mitsopoulou, Ilias Georgalas, Petros Petrou

International Journal of Medical and Pharmaceutical Case Reports · pp. 95–99 · Published 13 Dec 2022

10.9734/ijmpcr/2022/v15i4319

Abstract

Aims: To report a rare case of foveoschisis caused by vitreomacular traction in a young emmetropic female patient. Presentation of the Case: A 37-year-old woman, without any systemic or ocular disorders, presented with progressively reduced visual acuity in her right eye over the last 3 months. Best-corrected visual acuity (BCVA) was counting fingers in the right eye. Optical coherence tomography revealed foveoschisis with foveal detachment in her right eye, which was successfully treated with pars plana vitrectomy without internal limiting membrane peeling and gas tamponade. Three months post-operatively the BCVA improved to 6/12. Discussion and Conclusion: Although high myopia is the main cause of foveoschsis, vitreomacular traction can rarely be associated with foveoschisis, specially in young patients without myopia or any other ocular history. In these cases pars plana vitrectomy with extensive posterior vitreous detachment induction may have favorable visual outcomes.

Foveoschisis vitreomacular traction retina vitreoretinal surgery

References (6)

1 X-linked juvenile retinoschisis: Clinical diagnosis, genetic analysis, and molecular mechanisms [DOI]
2 SPECTRAL-DOMAIN OPTICAL COHERENCE TOMOGRAPHIC FINDINGS IN MYOPIC FOVEOSCHISIS [DOI]
3 A Review of Current Myopic Foveoschisis Management Strategies [DOI]
4 Comparison of Vitreomacular Interface Changes in Myopic Foveoschisis and Idiopathic Epiretinal Membrane Foveoschisis [DOI]
5 Current concepts and cutting-edge techniques in myopic macular surgeries [DOI]
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Andreas Katsimpris, Aristotelis Karamaounas, Dimitra Mitsopoulou, Ilias Georgalas, Petros Petrou (2022). Extensive Foveoschisis in an Emmetropic Patient Associated with Vitreomacular Traction: A Case Report. International Journal of Medical and Pharmaceutical Case Reports , 95–99. https://doi.org/10.9734/ijmpcr/2022/v15i4319

Affiliations

Andreas Katsimpris — First Ophthalmology Department, "G. Gennimatas" Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Aristotelis Karamaounas — First Ophthalmology Department, "G. Gennimatas" Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Dimitra Mitsopoulou — First Ophthalmology Department, "G. Gennimatas" Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Ilias Georgalas — First Ophthalmology Department, "G. Gennimatas" Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Petros Petrou — First Ophthalmology Department, "G. Gennimatas" Hospital, National and Kapodistrian University of Athens, Athens, Greece.

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