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Optical coherence tomography (OCT) has indicated that myopic foveoschisis (MF) is not uncommon in highly myopic eyes.1 MF is often accompanied by a macular hole (MH),2,3 while a MH often complicates a retinal detachment (MHRD) in highly myopic eyes. MHRD is believed to result from MF at least in some cases, however, the detail of the process is unknown. We have documented the process of spontaneous resolution of MF and development of RD over a few months.
A 65 year old man with high myopia was referred to our clinic with bilateral visual loss and metamorphopsia of 3 months’ duration. OCT revealed MF without MH in his right eye and MF with MH in his left eye (fig 1A and C). His right eye underwent vitrectomy, but the left eye was observed. The initial best corrected visual acuity (BCVA) in his left eye was 20/50 and the axial length was 28.42 mm. …
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