Peripapillary detachment in pathologic myopia.
OBJECTIVE
To describe peripapillary detachment in pathologic myopia (PDPM), a newly recognized fundus lesion.


METHODS
Retrospective medical record review.


METHODS
We evaluated a series of myopic eyes that had a yellow-orange elevation of the retina and retinal pigment epithelium at the inferior border of the myopic conus.


RESULTS
Twenty eyes of 15 patients were identified during a 17-year period to have characteristic findings of PDPM. The mean age of the patients was 58 years. They were followed up for an average of 6 years. The mean spherical equivalent correction was -11.00 diopters (D) (range, -6.00 to -16.00 D). The mean axial length was 27.4 mm (range, 25.3-28.9 mm). In each case, ophthalmic coherence tomographic examination showed a localized detachment of the retinal pigment epithelium and retina corresponding to the PDPM lesion. During the follow-up period, the lesion remained stable in all cases except for 1. No apparent negative effect on visual function was noted.


CONCLUSIONS
Peripapillary detachment in pathologic myopia is an asymptomatic, yellow-orange peripapillary detachment of the retinal pigment epithelium and retina in pathologic myopia. Recognition of this lesion is important to distinguish it from other fundus pathologic conditions, such as tumors or choroidal neovascularization, which require further investigation and treatment.
Freund
K Bailey
KB
Retinal Reseasrch Department, Manhattan Eye, Ear, and Throat Hospital, New York, NY, USA. vrmny@aol.com
Ciardella
Antonio P
AP
Yannuzzi
Lawrence A
LA
Pece
Alfredo
A
Goldbaum
Mauro
M
Kokame
Gregg T
GT
Orlock
Dennis
D
D000328:Adult; D000368:Aged; D003941:Diagnostic Techniques, Ophthalmological; D005260:Female; D005451:Fluorescein Angiography; D006801:Humans; D007368:Interferometry; D008027:Light; D008297:Male; D008875:Middle Aged; D009216:Myopia / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D009898:Optic Disk / Q000473:pathology*; D012163:Retinal Detachment / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D014054:Tomography; D014792:Visual Acuity