Multiple parafoveal retinal detachment in myopic tractional maculopathy
This study investigates the occurrence of multiple parafoveal retinal detachments (RDs) in myopic traction maculopathy (MTM), emphasizing the atypical extrafoveal involvement compared to central foveal detachment commonly observed. Patient 1, a 46-year-old male, exhibited MTM with retinoschisis and...
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Language: | English |
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Wolters Kluwer Medknow Publications
2024-12-01
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Series: | Taiwan Journal of Ophthalmology |
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Online Access: | https://journals.lww.com/10.4103/tjo.TJO-D-24-00077 |
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author | Tsai-Chu Yeh Shih-Jen Chen |
author_facet | Tsai-Chu Yeh Shih-Jen Chen |
author_sort | Tsai-Chu Yeh |
collection | DOAJ |
description | This study investigates the occurrence of multiple parafoveal retinal detachments (RDs) in myopic traction maculopathy (MTM), emphasizing the atypical extrafoveal involvement compared to central foveal detachment commonly observed. Patient 1, a 46-year-old male, exhibited MTM with retinoschisis and four small subretinal fluid (SRF) pockets inferior to the fovea, accompanied by a hyperautofluorescent vitelliform deposit. Patient 2, a 43-year-old male, reported ring-shaped dim vision in the left eye, displaying MTM with six stable SRF pockets surrounding the fovea. These SRF pockets maintained a stable size ranging from 173 to 1140 um in diameter over the course of a 5-year follow-up period. Interestingly, fluorescein and indocyanine angiography showed no leakage or hyperpermeability in both cases. The study highlights the necessity for a comprehensive exploration of extrafoveal RDs in MTM, challenging conventional expectations. The mechanism of these persistent extrafoveal detachments associated with myopic schisis was unknown. The findings prompt further research to unravel the intricate mechanisms of this rarely reported phenomenon, emphasizing the importance of expanding our understanding of extrafoveal manifestations in eyes with MTM. |
format | Article |
id | doaj-art-d29152b82e9b4f3d8e400f173e59e2d1 |
institution | Kabale University |
issn | 2211-5056 2211-5072 |
language | English |
publishDate | 2024-12-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Taiwan Journal of Ophthalmology |
spelling | doaj-art-d29152b82e9b4f3d8e400f173e59e2d12025-01-14T15:52:12ZengWolters Kluwer Medknow PublicationsTaiwan Journal of Ophthalmology2211-50562211-50722024-12-0114462462810.4103/tjo.TJO-D-24-00077Multiple parafoveal retinal detachment in myopic tractional maculopathyTsai-Chu YehShih-Jen ChenThis study investigates the occurrence of multiple parafoveal retinal detachments (RDs) in myopic traction maculopathy (MTM), emphasizing the atypical extrafoveal involvement compared to central foveal detachment commonly observed. Patient 1, a 46-year-old male, exhibited MTM with retinoschisis and four small subretinal fluid (SRF) pockets inferior to the fovea, accompanied by a hyperautofluorescent vitelliform deposit. Patient 2, a 43-year-old male, reported ring-shaped dim vision in the left eye, displaying MTM with six stable SRF pockets surrounding the fovea. These SRF pockets maintained a stable size ranging from 173 to 1140 um in diameter over the course of a 5-year follow-up period. Interestingly, fluorescein and indocyanine angiography showed no leakage or hyperpermeability in both cases. The study highlights the necessity for a comprehensive exploration of extrafoveal RDs in MTM, challenging conventional expectations. The mechanism of these persistent extrafoveal detachments associated with myopic schisis was unknown. The findings prompt further research to unravel the intricate mechanisms of this rarely reported phenomenon, emphasizing the importance of expanding our understanding of extrafoveal manifestations in eyes with MTM.https://journals.lww.com/10.4103/tjo.TJO-D-24-00077myopic traction maculopathyretinal detachmentsubretinal fluid |
spellingShingle | Tsai-Chu Yeh Shih-Jen Chen Multiple parafoveal retinal detachment in myopic tractional maculopathy Taiwan Journal of Ophthalmology myopic traction maculopathy retinal detachment subretinal fluid |
title | Multiple parafoveal retinal detachment in myopic tractional maculopathy |
title_full | Multiple parafoveal retinal detachment in myopic tractional maculopathy |
title_fullStr | Multiple parafoveal retinal detachment in myopic tractional maculopathy |
title_full_unstemmed | Multiple parafoveal retinal detachment in myopic tractional maculopathy |
title_short | Multiple parafoveal retinal detachment in myopic tractional maculopathy |
title_sort | multiple parafoveal retinal detachment in myopic tractional maculopathy |
topic | myopic traction maculopathy retinal detachment subretinal fluid |
url | https://journals.lww.com/10.4103/tjo.TJO-D-24-00077 |
work_keys_str_mv | AT tsaichuyeh multipleparafovealretinaldetachmentinmyopictractionalmaculopathy AT shihjenchen multipleparafovealretinaldetachmentinmyopictractionalmaculopathy |