Ohno-Matsui, K., Kawasaki, R., Jonas, J.B., Cheung, C.M., Saw, S.M., Verhoeven, V.J., Klaver, C.C., Moriyama, M., Shinohara, K., Kawasaki, Y., Yamazaki, M., Meuer, S., Ishibashi, T., Yasuda, M., Yamashita, H., Sugano, A., Wang, J.J., Mitchell, P., Wong, T.Y. and META-Analysis for Pathologic Myopia (META-PM) Study Group (2015) International Photographic Classification and Grading System for Myopic Maculopathy. American Journal of Ophthalmology, 159, 877-883.e7.
https://doi.org/10.1016/j.ajo.2015.01.022

has been cited by the following article:

• TITLE: Resolving Myopic Foveoretinal Detachment by Fovea-Saving Internal Limiting Membrane Peeling: A Case-Series Report

  AUTHORS: Miguel Angel Quiroz-Reyes, Erick Andres Quiroz-Gonzalez, Miguel Angel Quiroz-Gonzalez, Virgilio Lima-Gomez

  KEYWORDS: Automated Microperimetry, Myopic Foveoretinal Detachment, Myopic Foveoschisis, Myopic Macular Hole, Myopic Traction Maculopathy, Posterior Staphyloma

  JOURNAL NAME: Open Journal of Ophthalmology, Vol.13 No.1, February 23, 2023

  ABSTRACT: Background: In highly myopic eyes, myopic foveoschisis (MF), the earliest stage of myopic traction maculopathy (MTM), is present in up to 34% of patients with pathologic myopia and slowly progresses to form foveoretinal detachment (FRD) or macular hole (MH) with or without macular hole retinal detachment (MHRD) as a part of its natural history. Aim: To describe the microstructural and functional results in three highly myopic eyes that underwent macular surgery for early-stage MTM. The last postoperative structural findings were correlated with the final vision and macular automated microperimetry evaluation. Methods: We retrospectively reviewed three highly myopic eyes that underwent successful fovea-saving internal limiting membrane (FS-ILM) macular surgery for chronic FRD at Oftalmologia Integral ABC, Mexico City, Mexico. We performed postoperative multimodal microstructural and functional evaluations, including SD-OCT, SS-OCT, and microperimetric macular examinations. Results: There was a substantial difference between best-corrected visual acuity (BCVA) preoperatively and postoperatively in all three cases. Postoperative surgery was associated with significant improvement in visual acuity confirmed using a paired-sample permutation test. The mean presurgical BCVA value (LogMAR; mean ± SE) was ~0.83 ± 0.15, and the postsurgical value was ~0.43 ± 0.52 (P = 0.00065). The myopic foveoretinal detachment evaluation was ~7.3 ± 3.5 months, with a mean postoperative follow-up time of ~14 ± 4.08 months. Furthermore, postoperative multimodal imaging tests demonstrated an abnormal microstructural foveal SS-OCT pattern without evidence of macular hole (MH) development at the postoperative follow-up. Macular microperimetry confirmed a subclinical reduced macula threshold sensitivity with an anomalous retinal sensitivity analysis map and a stable central foveal fixation site. Conclusions: Even with the successful microstructural disappearance of myopic macular detachment, the last multidisciplinary functional and structural assessments demonstrated different subclinical macular alterations.