Three-dimensional optical coherence tomography for rhegmatogenous retinal detachment in posterior staphyloma.
OBJECTIVE
The detection of microretinal breaks in posterior staphyloma is frequently challenging. We evaluated the ability of three-dimensional optical coherence tomography to detect retinal breaks in posterior staphyloma.


METHODS
We prospectively examined two highly myopic eyes of two patients with rhegmatogenous retinal detachment in posterior staphyloma.


RESULTS
Retinal breaks could not be detected in any of the two eyes by conventional fundus examination; however, these breaks were easily detected on the series of B-scan optical coherence tomography images. The location of retinal breaks was registered in the color fundus photographs, and it corresponded well with the findings during vitrectomy.


CONCLUSIONS
Three-dimensional optical coherence tomography seems to be an effective tool for detecting microretinal breaks and is useful in vitrectomy for rhegmatogenous retinal detachment in the area with posterior staphyloma.
From the Department of Ophthalmology, Tokyo Medical University, Kasumigaura Hospital, Ibaraki, Japan.
Masahiro
M
Miura
Yoshimi
Y
Miyaoka
Takuya
T
Iwasaki