title: Internal limiting membrane removal for macular detachment in highly myopic eyes.
abstract: OBJECTIVE
  To present a treatment option for highly myopic eyes developing retinal detachment over a posterior staphyloma.
  
  
  METHODS
  Interventional case report.
  
  
  METHODS
  Pars plana vitrectomy with peeling of the internal limiting membrane and gas tamponade; no laser retinopexy.
  
  
  RESULTS
  Retinal reattachment with marked visual improvement.
  
  
  CONCLUSIONS
  It appears that the rigid internal limiting membrane is responsible for the retina's inability to conform to the posterior staphyloma. Intraoperative findings suggest that this rigidity may also play a role in subsequent macular hole development. Internal limiting membrane removal should be considered in eyes with retinal detachment over a posterior staphyloma, whether or not a macular hole is present.
authors.affiliation: Helen Keller Foundation, Birmingham, Alabama 35205, USA. fkuhn@mindspring.com
authors.forename: Ferenc
authors.initials: F
authors.lastname: Kuhn
mesh_terms: D000368:Aged; D019773:Epiretinal Membrane / Q000601:surgery*; D005260:Female; D006801:Humans; D009216:Myopia / Q000150:complications*; D016684:Prone Position; D012163:Retinal Detachment / Q000209:etiology / Q000601:surgery*; D013459:Sulfur Hexafluoride / Q000008:administration & dosage; D014792:Visual Acuity; D014821:Vitrectomy
chemical_list: D013459:Sulfur Hexafluoride