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Foveal retinoschisis and retinal detachment in severely myopic eyes with posterior staphyloma.
Am J Ophthalmol. 1999 Oct; 128(4):472-6.AJ

Abstract

PURPOSE

To evaluate the tomographic features of the retina in patients with severe myopia and posterior staphyloma.

METHODS

In a prospective study of 32 eyes of 19 consecutive patients with severe myopia and posterior staphyloma, we performed complete ophthalmic examinations and studied cross-sectional images of the macula with optical coherence tomography. Patients' age ranged from 41 to 83 years (average, 62.7 years). Best-corrected visual acuity ranged from 20/500 to 20/40 (average, 20/120). The study included 26 phakic and six pseudophakic eyes. The refractive errors of 26 phakic eyes ranged from -8 to -31 diopters (average, -16.7 diopters). Although refractive errors were within -8 diopters in six pseudophakic eyes, the eyes had apparent posterior staphyloma. The axial lengths measured by A-mode ultrasonography ranged from 25.7 to 32.7 mm (average, 29.2 mm). Slit-lamp examination with contact lens showed that none of the eyes had a macular hole.

RESULTS

In nine eyes with shallow retinal elevation on slit-lamp examination, optical coherence tomography disclosed a foveal retinal detachment with retinoschisis in eight eyes and a foveal retinal detachment in one eye. Two of the remaining 23 eyes had retinoschisis.

CONCLUSIONS

Foveal retinal detachment and retinoschisis are common features in severely myopic eyes with posterior staphyloma. Retinal detachment may precede the formation of a macular hole in severely myopic eyes.

Authors+Show Affiliations

Department of Ophthalmology, Gunma University School of Medicine, Maebashi, Japan.No affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

10577588

Citation

Takano, M, and S Kishi. "Foveal Retinoschisis and Retinal Detachment in Severely Myopic Eyes With Posterior Staphyloma." American Journal of Ophthalmology, vol. 128, no. 4, 1999, pp. 472-6.
Takano M, Kishi S. Foveal retinoschisis and retinal detachment in severely myopic eyes with posterior staphyloma. Am J Ophthalmol. 1999;128(4):472-6.
Takano, M., & Kishi, S. (1999). Foveal retinoschisis and retinal detachment in severely myopic eyes with posterior staphyloma. American Journal of Ophthalmology, 128(4), 472-6.
Takano M, Kishi S. Foveal Retinoschisis and Retinal Detachment in Severely Myopic Eyes With Posterior Staphyloma. Am J Ophthalmol. 1999;128(4):472-6. PubMed PMID: 10577588.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Foveal retinoschisis and retinal detachment in severely myopic eyes with posterior staphyloma. AU - Takano,M, AU - Kishi,S, PY - 1999/11/30/pubmed PY - 1999/11/30/medline PY - 1999/11/30/entrez SP - 472 EP - 6 JF - American journal of ophthalmology JO - Am. J. Ophthalmol. VL - 128 IS - 4 N2 - PURPOSE: To evaluate the tomographic features of the retina in patients with severe myopia and posterior staphyloma. METHODS: In a prospective study of 32 eyes of 19 consecutive patients with severe myopia and posterior staphyloma, we performed complete ophthalmic examinations and studied cross-sectional images of the macula with optical coherence tomography. Patients' age ranged from 41 to 83 years (average, 62.7 years). Best-corrected visual acuity ranged from 20/500 to 20/40 (average, 20/120). The study included 26 phakic and six pseudophakic eyes. The refractive errors of 26 phakic eyes ranged from -8 to -31 diopters (average, -16.7 diopters). Although refractive errors were within -8 diopters in six pseudophakic eyes, the eyes had apparent posterior staphyloma. The axial lengths measured by A-mode ultrasonography ranged from 25.7 to 32.7 mm (average, 29.2 mm). Slit-lamp examination with contact lens showed that none of the eyes had a macular hole. RESULTS: In nine eyes with shallow retinal elevation on slit-lamp examination, optical coherence tomography disclosed a foveal retinal detachment with retinoschisis in eight eyes and a foveal retinal detachment in one eye. Two of the remaining 23 eyes had retinoschisis. CONCLUSIONS: Foveal retinal detachment and retinoschisis are common features in severely myopic eyes with posterior staphyloma. Retinal detachment may precede the formation of a macular hole in severely myopic eyes. SN - 0002-9394 UR - https://www.unboundmedicine.com/medline/citation/10577588/Foveal_retinoschisis_and_retinal_detachment_in_severely_myopic_eyes_with_posterior_staphyloma_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002939499001865 DB - PRIME DP - Unbound Medicine ER -