Macular retinal detachment associated with peripapillary detachment in pathologic myopia.
OBJECTIVE
A peripapillary detachment in pathologic myopia (PDPM) appears as a yellowish-orange lesion around the optic disc in highly myopic eyes. We report a case in which a macular retinal detachment (RD) accompanied a PDPM.


METHODS
A case report was used in this study.


RESULTS
The right eye in a 48-year-old man showed a macular RD and a PDPM. Fluorescein fundus angiography showed no dye leakage, suggestive of an optic pit within the optic disc. Optical coherence tomography (OCT) examination revealed that there was a full-thickness tissue defect in the retina overlying PDPM, the vitreous cavity was connected to PDPM through this defect, and the PDPM was continuous with the RD through the subretinal path at the conus area.


CONCLUSIONS
These findings suggest that this eye had a macular RD associated with a PDPM, and eyes with a PDPM might be at risk of developing macular RD.
Shimada
Noriaki
N
Department of Ophthalmology and Visual Science, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, Japan.
Ohno-Matsui
Kyoko
K
Iwanaga
Yoichi
Y
Tokoro
Takashi
T
Mochizuki
Manabu
M
D005451:Fluorescein Angiography; D005654:Fundus Oculi; D006801:Humans; D008266:Macula Lutea; D008297:Male; D008875:Middle Aged; D047728:Myopia, Degenerative / Q000150:complications* / Q000175:diagnosis*; D009898:Optic Disk / Q000473:pathology*; D012163:Retinal Detachment / Q000150:complications* / Q000175:diagnosis; D041623:Tomography, Optical Coherence