Analysis Of Five Cases Of Myopic Foveoschisis

Myopic foveoschisis is one of the complications of high myopia which refers to the macular neuroepitheliumretina separation between the layers.According to OCT observations,the current view that the possible pathogenesis of MF can be summarized as the following three points:(1)Vitreous detachment after traction(2)Internal membrane rigidity and the traction of the inner cells and sclerosis caused by retinal blood vessels(3)Increasing axial length and posterior staphyloma caused by the centrifugal traction。Surgery is currently the only way to treat MF,because of the risk factors are not clear choice of surgical approach is not uniform.Objective: Through the report of 5 cases of Myopic foveoschisis,to understand the possible pathogenesis of the disease and provide ideas for clinically correct choice of surgical methods.Methods: By comparing the preoperative and postoperative best corrected visual acuity(BCVA),macular retinal detachment Maximum foveal thickness(Mx FT),axial length,b-wave amplitude of multifocal electroretinogram(mf ERG)in 5 patients with MF,we explored different surgical procedures for patients.Effect of postoperative effect.Results: For beginners,ILM tears off or should be based on avoiding the iatrogenic injury that causes macular holes without having to be forcibly removed。The scleral shortening,can effectively shortened the length of the axial length of the eye,which effectively relieve the outward traction of the sclera,so that the sclera of the macula closer to the retina,so that the two layers of the retina more closely linked to promote macular retinal reattachment,it is possible will become the focus of future research related to macular dehis-cence.