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Retinal detachment associated with a macular hole in severely myopic eyes
1Department of Ophthalmology, Asahikawa Medical College, Japan. jakiba@asahikawa-med.ac.jp
Purpose:
To investigate factors associated with extensive retinal detachment in severely myopic eyes with a macular hole.
Method:
Fifty-two consecutive eyes with a macular hole and severe myopia were retrospectively studied.
Results:
An extensive retinal detachment, defined as extending beyond the cuff of subretinal fluid, was observed in 37 eyes (71%). Extensive retinal detachment developed in 36 (95%) of 38 eyes with a posterior staphyloma and in one (7%) of 14 eyes without a posterior staphyloma (P<.0001). Extensive retinal detachment also developed in 32 (89%) of 36 eyes with complete posterior vitreous detachment and in five (31%) of 16 eyes without posterior vitreous detachment (P<.0001).
Conclusion:
Posterior staphyloma rather than anteroposterior vitreomacular traction may contribute to the development of retinal detachment associated with a macular hole in severely myopic eyes.