ABSTRACT
To report the anatomic and visual results following macular buckling for patients with macular retinoschisis related to high myopia. Thirty-nine highly myopic eyes [mean refractive error -16.7 D; range, -9 to -24 D] of 36 patients [mean age 59 years; range, 35-79 years] presenting with macular retinoschisis associated with a posterior staphyloma, who underwent combined vitrectomy and macular buckling were evaluated. Main outcome measures included best-corrected visual acuity [BCVA] and optical coherence tomography [OCT] findings. Three cases were excluded due to short follow-up [less than 3 months]. The mean followup was 16 months. The mean BCVA increased from 0.76 to 0.43 LogMAR [p = 0.001]. Visual acuity improved in 30 eyes [83.3%], remained stable in three eyes [8.3%] and decreased in three eyes [8.3%]. OCT showed resolution of foveoschisis with foveal reattachment in all eyes. None of the evaluated patients developed a macular hole during follow-up. Macular buckling associated with vitrectomy results in good anatomic and visual outcomes in patients with myopic foveoschisis.