2011•Retinal Cases & Brief ReportsRequires access
RETINAL DETACHMENT BECAUSE OF MACULAR HOLE AND AN ADDITIONAL BREAK WITHIN THE STAPHYLOMA
Yoshitsugu Matsui, Mikio Sasoh, Motoyasu Furuta, Hisashi Matsubara, Koich Matsunaga, Yukitaka Uji
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Abstract
In Brief Purpose: To report the finding of retinal detachment because of macular hole and an additional break within the posterior staphyloma. Methods: A 63-year-old woman presented with progressive central scotoma of the right eye for 1-month duration. The fundus in the right eye showed retinal detachment that was localized within the posterior staphyloma and macular hole. An additional retinal break was observed within the staphyloma using ophthalmoscope, and optical coherence tomography confirmed that both the breaks were within the staphyloma. Macular buckling was scheduled because the two breaks were close enough to each other and the patient was unable to maintain a prone position. Results: The retinal detachment was successfully reattached using macular buckling procedure. Conclusion: In the present case, optical coherence tomography proved to be very useful in helping to make the correct diagnosis of a full-thickness break before surgery. A 63-year-old woman underwent macular buckling surgery because of retinal detachment because of macular hole and an additional break within the posterior staphyloma. The retinal detachment was successfully reattached, and optical coherence tomography proved to be very useful in helping to make the correct diagnosis of full-thickness breaks before surgery.