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

Objective:To study the foveal retinoschisis and(or) retinal detachment in high myopic eyes with posterior staphyloma using optical coherence tomography(OCT).Methods: In 575 high myopic eyes of 301 consecutive patients with posterior staphyloma confirmed by B Ultrasound,we performed complete ophthalmic examinations and studied cross-sectional images of the macula with OCT.Results: In sixty-seven(53 patients)of 575 high myopic eyes with posterior staphyloma,OCT revealed foveal retinoschisis and(or) retinal detachment.All sixty-seven eyes with foveal retinal detachment had severe fundus changes.Only 5 patients complained of recent,progressive visual impairment.Conclusion: In high myopic eyes with posterior staphyloma,foveal retinoschisis and(or) retinal detachment tend to be easily diagnosed by OCT.Periodic examination using OCT is recommended for high myopic eyes with severe myopic degenerative changes and posterior staphyloma.