PMC10149803_01
Clinical timeline:A 77-year-old woman with reduced visual acuity and central scotoma after her right eye cataract surgery. VMT, vitreomacular traction; MF, myopic foveoschisis; VA, visual acuity; ILM, internal limiting membrane; OCT, optical coherence tomography; OLMH, outer lamellar macular hole; ORD, outer retinal detachment.
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F1
Figure 1 shows the clinical timeline for the patient.
Optical coherence tomography macula of the left eye with (A) myopic foveoschisis pre-operatively and (B) stable myopic foveoschisis post-cataract surgery.
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F2
Ocular examination showed bilateral nuclear sclerosis cataracts with stable vitreomacular traction and myopic foveoschisis (Figures 2A, 3A). She had uneventful left eye surgery first with postoperative stable myopic foveoschisis (Figure 2B) on spectral domain optical coherence tomography (Heidelberg Spectralis Optical Coherence Tomography, Germany) and best-corrected visual acuity of 6/7.5, near vision N6.
Optical coherence tomography macula of the right eye with (A) myopic foveoschisis with vitreomacular traction pre-operatively, (B) myopic foveoschisis with new-onset outer lamellar macular hole, and (C) macular detachment post-cataract surgery.
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F3
Ocular examination showed bilateral nuclear sclerosis cataracts with stable vitreomacular traction and myopic foveoschisis (Figures 2A, 3A). Diagnosis of the outer lamellar macular hole (Figure 3B) and outer retinal detachment within her pre-existing myopic foveoschisis (Figure 3C) was confirmed with macular optical coherence tomography.