[Spontaneous course of retinal detachment with macular hole in patients with severe myopia].
We followed-up without any treatment 17 eyes of 14 highly myopic patients affected by a retinal detachment confined to the posterior pole. The follow-up ranged from 3 to 92 months (mean follow-up: 4 years). The retinal detachment remained unchanged in 12 eyes (70.5%), spontaneously reattached in 3 eyes (17.6%), and progressed to the periphery in 2 eyes (11.7%). At the end of the follow-up period, 68.7% of eyes retained useful visual acuity. From these data we conclude that 1) immediate surgical management is probably unnecessary in a number of myopic eyes with retinal detachment confined to the posterior pole and 2) such detachments likely are traction retinal detachments rather than rhegmatogenous retinal detachments due to a macular hole.
Bonnet
M
M
Clinique ophtalmologique universitaire B, UER Lyon-Nord, Hôpital de la Croix-Rousse.
Semiglia
R
R
D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009216:Myopia / Q000150:complications*; D012163:Retinal Detachment / Q000145:classification / Q000209:etiology* / Q000503:physiopathology; D012167:Retinal Perforations / Q000209:etiology* / Q000503:physiopathology; D013997:Time Factors
Evolution spontanée du décollement de la rétine du pôle postérieur du myope fort.