PNEUMATIC RETINOPEXY WITH FOCAL LASER PHOTOCOAGULATION FOR MYOPIC FOVEOSCHISIS WITH MACULAR DETACHMENT

To describe the clinical course and imaging of a case of myopic foveoschisis with macular detachment (MD), microbreak and epiretinal membrane managed with pneumatic retinopexy, and focal laser photocoagulation of the microbreak.

Retrospective case review of a highly myopic, phakic White man who developed vision loss due to myopic foveoschisis with MD.

A 66-year-old phakic man with a refractive error of -13.25 to 2.25 × 150 in his left eye and 1 month visual loss who was diagnosed with myopic foveoschisis with MD, microbreak, and epiretinal membrane developed recurrent, isolated, posterior, partial MD 1 month after pneumatic retinopexy. Central macular thickness was 901 μm. Repeat pneumatic retinopexy with supplemental focal laser photocoagulation surrounding the inferior macular periarteriolar microbreak achieved reattachment and improvement in the retinoschisis with return of visual acuity from 20/150 to baseline 20/40+ at 18-month follow-up.

Pneumatic retinopexy with focal laser photocoagulation may provide an alternative to vitrectomy and MP for the repair of myopic foveoschisis with MD and epiretinal membrane.