Detection of paravascular retinal cysts before using OCT in a highly myopic patient.
OBJECTIVE
We describe a case of high myopia who developed paravascular retinal rarefaction generated by vitreoretinal adhesion on retinal vessels detected using optical coherence tomography (OCT).


METHODS
A 31-year-old man received a regular ophthalmologic examination for high myopia including detailed fundus examination and OCT.


RESULTS
Detailed fundus examination revealed retinal rarefaction and fissure-like findings alongside the superior temporal retinal artery and vein in the right eye. OCT images revealed vitreoretinal adhesions on the retinal artery and a paravascular cystoid space in the inner retina. There was no retinal detachment. The axial length had increased by 1.50 mm over 15 years.


CONCLUSIONS
Paravascular retinal rarefaction as well as pseudohole formation caused by vitreoretinal adhesion on retinal vessels was detected in this patient using OCT. OCT might be useful to detect early-stage retinal pathologies caused by paravascular vitreoretinal traction in highly myopic patients.
Ohno-Matsui
Kyoko
K
Department of Ophthalmology and Visual Science, Tokyo Medical and Dental University, 1-5-45 Yushima, Tokyo, Japan. k.ohno.oph@tmd.ac.jp
Hayashi
Kengo
K
Tokoro
Takashi
T
Mochizuki
Manabu
M
D000328:Adult; D003560:Cysts / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D008297:Male; D047728:Myopia, Degenerative / Q000150:complications*; D012161:Retinal Artery / Q000473:pathology*; D012164:Retinal Diseases / Q000175:diagnosis* / Q000209:etiology; D000267:Tissue Adhesions / Q000175:diagnosis; D041623:Tomography, Optical Coherence / Q000379:methods*; D014822:Vitreous Body / Q000473:pathology