title: Tractional internal limiting membrane detachment in highly myopic eyes.
abstract: 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.
authors.affiliation: Department of Ophthalmology, Osaka University Medical School, Osaka, Suita, Japan.
authors.forename: Kaori
authors.initials: K
authors.lastname: Sayanagi
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Ikuno
authors.forename: Yasuo
authors.initials: Y
authors.lastname: Tano
mesh_terms: 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