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Internal limiting membrane removal for macular detachment in highly myopic eyes
1Helen Keller Foundation, Birmingham, Alabama 35205, USA. fkuhn@mindspring.com
Purpose:
To present a treatment option for highly myopic eyes developing retinal detachment over a posterior staphyloma.
Design:
Interventional case report.
Methods:
Pars plana vitrectomy with peeling of the internal limiting membrane and gas tamponade; no laser retinopexy.
Results:
Retinal reattachment with marked visual improvement.
Conclusions:
It appears that the rigid internal limiting membrane is responsible for the retina's inability to conform to the posterior staphyloma. Intraoperative findings suggest that this rigidity may also play a role in subsequent macular hole development. Internal limiting membrane removal should be considered in eyes with retinal detachment over a posterior staphyloma, whether or not a macular hole is present.