Case report: Vitreoretinal surgery for highly myopic eye with atypical macular detachment

Poster Details

First Author: A.Ohayon ISRAEL

Co Author(s):    J. Ferencz                             

Abstract Details


This is an atypical presentation of myopic macular detachment without classic signs of myopic traction maculopathy (MTM) such as: epiretinal membrane (ERM), vitreomacular traction (VMT) and myopic maculoschisis in a phakic woman with high myopia.


Ophthalmology Department, Meir Medical centre, Kfar-Sava, Israel


This patient underwent pars plana vitrectomy (PPV), posterior hyaloid peel, inner limiting membrane (ILM) peel and SF6 air-gas exchange. Visual acuity, slit-lamp examination and spectral-domain ocular coherence tomography (SD-OCT) images were collected.


Surgical anatomical outcome was excellent with macular reattachment over the follow-up period, however without significant visual improvement.


As of our best knowledge there isn’t a case of myopic macular detachment without schisis in the literature which makes our case unique and exceptional. PPV with ILM peel and SF6 injection is a good solution in a case of myopic macular detachment. Another surgical option is using of macular buckle as mentioned previously in the literature.

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