Retinal detachment because of macular hole and an additional break within the staphyloma.
OBJECTIVE
To report the finding of retinal detachment because of macular hole and an additional break within the posterior staphyloma.


METHODS
A 63-year-old woman presented with progressive central scotoma of the right eye for 1-month duration. The fundus in the right eye showed retinal detachment that was localized within the posterior staphyloma and macular hole. An additional retinal break was observed within the staphyloma using ophthalmoscope, and optical coherence tomography confirmed that both the breaks were within the staphyloma. Macular buckling was scheduled because the two breaks were close enough to each other and the patient was unable to maintain a prone position.


RESULTS
The retinal detachment was successfully reattached using macular buckling procedure.


CONCLUSIONS
In the present case, optical coherence tomography proved to be very useful in helping to make the correct diagnosis of a full-thickness break before surgery.
Department of Ophthalmology, Mie University School of Medicine, Edobashi, Tsu Mie, Japan.
Yoshitsugu
Y
Matsui
Mikio
M
Sasoh
Motoyasu
M
Furuta
Hisashi
H
Matsubara
Koich
K
Matsunaga
Yukitaka
Y
Uji