Tractional internal limiting membrane detachment in highly myopic eyes.
OBJECTIVE
To report the clinical features of tractional internal limiting membrane (ILM) detachment in highly myopic eyes with posterior staphyloma.


METHODS
Observational case report.


METHODS
We reviewed the optical coherence tomography images of 249 eyes in the high myopia clinic. ILM detachment was observed in six eyes (2.4%). We investigated the clinical feature of this finding.


RESULTS
Myopic foveoschisis (MF) was present in four of the six eyes (67%) (six patients, two men and four women; mean age, 57.3 years). The mean axial length was 29.3 mm and the mean refractive error was -15.0 diopters. The best-corrected visual acuity levels ranged from 20/400 to 20/13.


CONCLUSIONS
Rigidity of the ILM seems to cause tangential traction and results in a major cause of a disease specific to high myopia; that is, MF.
Sayanagi
Kaori
K
Department of Ophthalmology, Osaka University Medical School, Osaka, Suita, Japan.
Ikuno
Yasushi
Y
Tano
Yasuo
Y
D000368:Aged; D001485:Basement Membrane / Q000473:pathology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D047728:Myopia, Degenerative / Q000150:complications*; D012163:Retinal Detachment / Q000175:diagnosis / Q000209:etiology*; D041623:Tomography, Optical Coherence; D014792:Visual Acuity