Tractional internal limiting membrane detachment in highly myopic eyes

Am J Ophthalmol. 2006 Nov;142(5):850-2. doi: 10.1016/j.ajo.2006.05.031.


Purpose: To report the clinical features of tractional internal limiting membrane (ILM) detachment in highly myopic eyes with posterior staphyloma.

Design: Observational case report.

Methods: We reviewed the optical coherence tomography images of 249 eyes in the high myopia clinic. ILM detachment was observed in six eyes (2.4%). We investigated the clinical feature of this finding.

Results: Myopic foveoschisis (MF) was present in four of the six eyes (67%) (six patients, two men and four women; mean age, 57.3 years). The mean axial length was 29.3 mm and the mean refractive error was -15.0 diopters. The best-corrected visual acuity levels ranged from 20/400 to 20/13.

Conclusions: Rigidity of the ILM seems to cause tangential traction and results in a major cause of a disease specific to high myopia; that is, MF.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Basement Membrane / pathology
  • Female
  • Humans
  • Male
  • Middle Aged
  • Myopia, Degenerative / complications*
  • Retinal Detachment / diagnosis
  • Retinal Detachment / etiology*
  • Tomography, Optical Coherence
  • Visual Acuity