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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Main Authors: Tsai-Chu Yeh, Shih-Jen Chen
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Taiwan Journal of Ophthalmology
Subjects:
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.
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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