title: The role of diagnostic imaging techniques in the management of retinal detachment due to macular hole in high myopia.
abstract: After preoperative assessment revealed anomalous posterior vitreous detachment, a 75-year-old woman affected with retinal detachment due to macular hole was scheduled to undergo the posterior episcleral buckling procedure. Preoperative microperimetry showed unstable eccentric fixation with a dense scotoma within the central 8 degrees. One month postoperatively, best-corrected visual acuity increased from 1.70 to 0.88 logarithm of the minimum angle of resolution. Ultrasonography and optical coherence tomography revealed the indentation of the posterior scleral profile due to the buckle. The retina appeared fully attached and a macular hole with flattened edges was still detectable. Microperimetry showed stable central fixation with recovery of retinal sensitivity within the central 2 degrees. Diagnostic imaging techniques guided the decision to use the posterior episcleral buckling procedure. Microperimetry was useful to explain vision improvement despite residual macular hole.
authors.affiliation: Department of Medicine and Aging Sciences, Section of Ophthalmology, University G. d'Annunzio, Chieti-Pescara, Italy.
authors.forename: Paolo
authors.initials: P
authors.lastname: Carpineto
authors.forename: Agbeanda
authors.initials: A
authors.lastname: Aharrh-Gnama
authors.forename: Luca
authors.initials: L
authors.lastname: Di Antonio
authors.forename: Mario
authors.initials: M
authors.lastname: Nubile
authors.forename: Guido
authors.initials: G
authors.lastname: Di Marzio
authors.forename: Leonardo
authors.initials: L
authors.lastname: Mastropasqua
mesh_terms: D000368:Aged; D003937:Diagnosis, Differential; D003941:Diagnostic Techniques, Ophthalmological; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D033401:Microscopy, Acoustic / Q000379:methods; D009216:Myopia / Q000150:complications* / Q000503:physiopathology; D009887:Ophthalmoscopy / Q000379:methods; D012029:Refraction, Ocular; D015203:Reproducibility of Results; D012163:Retinal Detachment / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D012167:Retinal Perforations / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D012591:Scleral Buckling / Q000379:methods*; D012720:Severity of Illness Index; D041623:Tomography, Optical Coherence / Q000379:methods; D014792:Visual Acuity