Macular Holes in High Myopia
A distinct variant of RRD is caused by macular holes, almost always in the setting of a posterior staphyloma in highly myopic eyes (Fig 16-20). Vitreous cavity fluid enters the subretinal space through the macular hole and initiates the detachment. These macular holes with retinal detachment have a far lower success rate for surgical repair than do either macular holes or typical RRDs.
Ando Y, Hirakata A, Ohara A, et al. Vitrectomy and scleral imbrication in patients with myopic traction maculopathy and macular hole retinal detachment. Graefes Arch Clin Exp Ophthalmol. 2017;255(4):673–680.
Ho TC, Ho A, Chen MS. Vitrectomy with a modified temporal inverted limiting membrane flap to reconstruct the foveolar architecture for macular hole retinal detachment in highly myopic eyes. Acta Ophthalmol. 2018;96(1):e46–e53.
Excerpted from BCSC 2020-2021 series: Section 10 - Glaucoma. For more information and to purchase the entire series, please visit https://www.aao.org/bcsc.