Looking at the optical coherence tomography image, could you tell the diagnosis?
Thanks to everyone who showed interest in the section of question of the month and answered the question. In this month’s question telling the diagnosis by looking at the OCT image was asked.
The answer the question is ‘Myopic Traction Maculopathy (Myopic Foveoschisis)’. The result of the lottery among those who answered the question correctly, the winner of this month’s book prize is Özge Sarıtaş, MD. Congratulations to her.
Myopic traction maculopathy is a wide spectrum of clinical pictures that may affect up to 30% of eyes with pathologic myopia.
At the stage of maculoschisis, myopic traction maculopathy can be classified in stage 1 (inner or inner-outer schisis) and stage 2 (purely outer schisis). Myopic traction maculopathy further progresses into macular detachment, or stage 3, which is a separation between the RPE and photoreceptor layer. Stage 3 evolves into stage 4, that describes a macular detachment extended to the whole posterior pole, whereas the schisis in the retina disappears, as the intraretinal stretching is released by the detachment of the outer retinal layers from the RPE.
Parolini, B, Palmieri M, Finzi A, et al. Myopic Traction Maculopathy:A New Perspective on Classification and Management. Asia Pac J Ophthalmol. 2021;10(1):49-59
Özge Sarıtaş ,MD
Ankara City Hospital
Dr. Özge Sarıtaş is graduated from Hacettepe University Faculty of Medicine in 2016. She is currently continuing her residency in Ophthalmology at Ankara City Hospital.