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Myopic Macular Retinoschisis

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Abstract

Myopic macular retinoschisis is considered to be a representative pathology which OCT contributed on its diagnosis and the establishment of treatment. It is not uncommon and is found in 9–34 % of highly myopic eyes with posterior staphyloma. During a natural course, the macular retinoschisis progresses to more serious complications like full-thickness macular holes or foveal retinal detachment. Many factors have been associated with the development of myopic macular retinoschisis, such as vitreomacular traction, remained cortical vitreous on the retinal surface, retinal arteriolar stiffness, paravascular lamellar holes, and progressive scleral displacement posteriorly. Pars plana vitrectomy with the peeling of inner limiting membrane (ILM) is a standard technique to treat this condition, and recently, some technical modifications have been proposed for ILM peeling. Other types of vitreoretinal disorders including macular hole retinal detachment (RD) and RD due to intrachoroidal cavitation (ICC) have also been reviewed in this chapter.

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Correspondence to Kyoko Ohno-Matsui MD, PhD .

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Ohno-Matsui, K. (2014). Myopic Macular Retinoschisis. In: Spaide, R., Ohno-Matsui, K., Yannuzzi, L. (eds) Pathologic Myopia. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8338-0_16

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