Foveal retinoschisis and retinal detachment in severely myopic eyes with posterior staphyloma

Am J Ophthalmol. 1999 Oct;128(4):472-6. doi: 10.1016/s0002-9394(99)00186-5.


Purpose: To evaluate the tomographic features of the retina in patients with severe myopia and posterior staphyloma.

Methods: In a prospective study of 32 eyes of 19 consecutive patients with severe myopia and posterior staphyloma, we performed complete ophthalmic examinations and studied cross-sectional images of the macula with optical coherence tomography. Patients' age ranged from 41 to 83 years (average, 62.7 years). Best-corrected visual acuity ranged from 20/500 to 20/40 (average, 20/120). The study included 26 phakic and six pseudophakic eyes. The refractive errors of 26 phakic eyes ranged from -8 to -31 diopters (average, -16.7 diopters). Although refractive errors were within -8 diopters in six pseudophakic eyes, the eyes had apparent posterior staphyloma. The axial lengths measured by A-mode ultrasonography ranged from 25.7 to 32.7 mm (average, 29.2 mm). Slit-lamp examination with contact lens showed that none of the eyes had a macular hole.

Results: In nine eyes with shallow retinal elevation on slit-lamp examination, optical coherence tomography disclosed a foveal retinal detachment with retinoschisis in eight eyes and a foveal retinal detachment in one eye. Two of the remaining 23 eyes had retinoschisis.

Conclusions: Foveal retinal detachment and retinoschisis are common features in severely myopic eyes with posterior staphyloma. Retinal detachment may precede the formation of a macular hole in severely myopic eyes.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Female
  • Fovea Centralis
  • Humans
  • Macula Lutea / pathology
  • Male
  • Middle Aged
  • Myopia / complications*
  • Optics and Photonics
  • Prospective Studies
  • Retinal Detachment / etiology*
  • Retinal Detachment / pathology
  • Retinal Perforations / etiology*
  • Retinal Perforations / pathology
  • Scleral Diseases / complications
  • Tomography