Retinal detachment associated with a macular hole in severely myopic eyes

Am J Ophthalmol. 1999 Nov;128(5):654-5. doi: 10.1016/s0002-9394(99)00240-8.


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.

MeSH terms

  • Adult
  • Aged
  • Female
  • Humans
  • Male
  • Middle Aged
  • Myopia / complications*
  • Myopia / physiopathology*
  • Retinal Detachment / complications*
  • Retinal Perforations / complications*
  • Retrospective Studies
  • Scleral Diseases / complications
  • Severity of Illness Index
  • Vitreous Detachment / complications