Tsui, Mei ChiMei ChiTsuiYI-TING HSIEHTSO-TING LAIHsia, YunYunHsiaWang, Shih WenShih WenWangMa, I. HsinI. HsinMaHung, Kuo ChiKuo ChiHungCHANG-PING LINCHANG-HAO YANGCHUNG-MAY YANGTZYY-CHANG HO2023-06-232023-06-232023-06-0121938245https://scholars.lib.ntu.edu.tw/handle/123456789/633041Introduction: To investigate changes in the vitreoretinal interface after anti-vascular endothelial growth factor (anti-VEGF) treatment in highly myopic eyes. Methods: Eyes with myopic choroidal neovascularization (mCNV) treated with intravitreal injection of anti-VEGF in a single-center were retrospectively reviewed. Fundus abnormalities and features of optical computed tomography were studied. Results: A total of 295 eyes from 254 patients were recruited to the study. Prevalence of myopic macular retinoschisis (MRS) was 25.4%, and the rates of progression and onset of MRS were 75.9% and 16.2%, respectively. Outer retinal schisis (β = 8.586, p = 0.003) and lamellar macular hole (LMH) (β = 5.015, p = 0.043) at baseline were identified risk factors for progression and onset of MRS, whereas male sex (β = 9.000, p = 0.039) and outer retinal schisis at baseline (β = 5.250, p = 0.010) were risk factors for MRS progression. Progression of MRS was first detected in outer retinal layers in 48.3% of eyes. Thirteen eyes required surgical intervention. Spontaneous improvements of MRS were observed in five eyes (6.3%). Conclusion: Changes in the vitreoretinal interface, such as progression, onset, and improvement of MRS, were observed after anti-VEGF treatment. Outer retinal schisis and LMH were risk factors of progression and onset of MRS after anti-VEGF treatment. Intravitreal injection of ranibizumab and retinal hemorrhage were protective factors for surgical intervention for vision-threatening MRS.enAnti-vascular endothelial growth factor | High myopia | Myopic choroidal neovascularization | Myopic macular retinoschisis | Myopic traction maculopathy | Vitreoretinal interfacejournal article10.1007/s40123-023-00701-4370046982-s2.0-85151464059WOS:000961392400001https://api.elsevier.com/content/abstract/scopus_id/85151464059