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Case Reports
. 2023 Feb 21;16(1):165-169.
doi: 10.4103/ojo.ojo_221_22. eCollection 2023 Jan-Apr.

Surgical treatment of a chronic foveal retinal detachment combined with staphyloma, foveoschisis, and macular hole

Efthymios Karmiris  1 , Evangelia Chalkiadaki  1 , Ourania Fydanaki  1 , Michael Apostolopoulos  2
Affiliations
Case Reports

Surgical treatment of a chronic foveal retinal detachment combined with staphyloma, foveoschisis, and macular hole

Efthymios Karmiris et al. Oman J Ophthalmol. .

Abstract

To present a case of anatomical success and visual improvement after the treatment of a long-standing foveal retinal detachment in a staphylomatous myopic eye with foveoschisis and macular hole. A 60-year-old woman with high myopia presented with foveoschisis and a lamellar macular hole in her right eye. After 2 years of follow-up without deterioration, her eye developed a full-thickness macular hole and a foveal retinal detachment which caused a severe reduction in visual acuity. However, the patient had no surgical treatment for her condition at that time. Vitrectomy was performed 2 years after the retinal detachment formation. Regardless of the longstanding detachment, anatomical success, and visual improvement were evident after the surgery. Despite a 2-year longstanding foveal detachment on a highly myopic eye with foveoschisis and macular hole, surgical repair could still be satisfactory.

Keywords: Chronic foveal detachment; foveoschisis; macular hole; staphyloma.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1:
Figure 1:
(a) OCT of the right eye at the initial visit. SD-OCT revealed a posterior staphyloma with foveoschisis, ERM and a lamellar macular hole in the patient's right eye, (b) OCT of the left eye at the initial visit. SD-OCT revealed a posterior staphyloma, but the anatomy of the fovea was not disturbed. SD-OCT: Spectral domain-Optical coherence tomography
Figure 2:
Figure 2:
The SD-OCT examination of the right eye 2 years after the first visit showed a full-thickness macular hole that was classified into stage 4 according to Gass classification and a foveal retinal detachment. SD-OCT: Spectral domain-Optical coherence tomography
Figure 3:
Figure 3:
Postoperative SD-OCT of the right eye showing full reattachment of the retina and central chorioretinal atrophy. SD-OCT: Spectral domain-Optical coherence tomography
See this image and copyright information in PMC

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