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2016 ; 6
(ä): 27952
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Myopic Macular Retinoschisis in Teenagers: Clinical Characteristics and Spectral
Domain Optical Coherence Tomography Findings
#MMPMID27294332
Sun CB
; You YS
; Liu Z
; Zheng LY
; Chen PQ
; Yao K
; Xue AQ
Sci Rep
2016[Jun]; 6
(ä): 27952
PMID27294332
show ga
To investigate the morphological characteristics of myopic macular retinoschisis
(MRS) in teenagers with high myopia, six male (9 eyes) and 3 female (4 eyes)
teenagers with typical MRS identified from chart review were evaluated. All cases
underwent complete ophthalmic examinations including best corrected visual acuity
(BCVA), indirect ophthalmoscopy, colour fundus photography, B-type
ultrasonography, axial length measurement, and spectral-domain optical coherence
tomography (SD-OCT). The average age was 17.8?±?1.5 years, average refractive
error was -17.04?±?3.04D, average BCVA was 0.43?±?0.61, and average axial length
was 30.42?±?1.71?mm. Myopic macular degenerative changes (MDC) by colour fundus
photographs revealed Ohno-Matsui Category 1 in 4 eyes, and Category 2 in 9 eyes.
Posterior staphyloma was found in 9 eyes. SD-OCT showed outer MRS in all 13 eyes,
internal limiting membrane detachment in 7 eyes, vascular microfolds in 2 eyes,
and inner MRS in 1 eye. No premacular structures such as macular epiretinal
membrane or partially detached posterior hyaloids were found. Our results showed
that MRS rarely occurred in highly myopic teenagers, and was not accompanied by
premacular structures, severe MDC, or even obvious posterior staphyloma. This
finding indicates that posterior scleral expansion is probably the main cause of
MRS.