Surgical outcomes of macular buckling techniques for macular retinoschisis in highly myopic eyes

Purpose: To report the anatomic and visual results following macular buckling for patients with macular retinoschisis related tohigh myopia. Methods: Thirty-nine highly myopic eyes (mean refractive error -16.7 D; range, -9 to -24 D) of 36 patients (mean age 59 years; range, 35–79 years) presenting with macular retinoschisis associated with a posterior staphyloma, who underwent combined vitrectomy and macular buckling were evaluated. Main outcome measures included best-corrected visual acuity (BCVA) and optical coherence tomography (OCT) findings. Three cases were excluded due to short follow-up (less than 3 months). The mean followup was 16 months. Results: The mean BCVA increased from 0.76 to 0.43 LogMAR (p = 0.001). Visual acuity improved in 30 eyes (83.3%), remained stable in three eyes (8.3%) and decreased in three eyes (8.3%). OCT showed resolution of foveoschisis with foveal reattachment in all eyes. None of the evaluated patients developed a macular hole during follow-up. Conclusion: Macular buckling associated with vitrectomy results in good anatomic and visual outcomes in patients with myopic foveoschisis.