title: Retinal detachment associated with a macular hole in severely myopic eyes.
abstract: OBJECTIVE
  To investigate factors associated with extensive retinal detachment in severely myopic eyes with a macular hole.
  
  
  METHODS
  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).
  
  
  CONCLUSIONS
  Posterior staphyloma rather than anteroposterior vitreomacular traction may contribute to the development of retinal detachment associated with a macular hole in severely myopic eyes.
authors.affiliation: Department of Ophthalmology, Asahikawa Medical College, Japan. jakiba@asahikawa-med.ac.jp
authors.forename: J
authors.initials: J
authors.lastname: Akiba
authors.forename: S
authors.initials: S
authors.lastname: Konno
authors.forename: A
authors.initials: A
authors.lastname: Yoshida
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009216:Myopia / Q000150:complications* / Q000503:physiopathology*; D012163:Retinal Detachment / Q000150:complications*; D012167:Retinal Perforations / Q000150:complications*; D012189:Retrospective Studies; D015422:Scleral Diseases / Q000150:complications; D012720:Severity of Illness Index; D020255:Vitreous Detachment / Q000150:complications