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. 2006 Nov;142(5):850-2.
doi: 10.1016/j.ajo.2006.05.031.

Tractional internal limiting membrane detachment in highly myopic eyes

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Tractional internal limiting membrane detachment in highly myopic eyes

Kaori Sayanagi et al. Am J Ophthalmol. 2006 Nov.

Erratum in

  • Am J Ophthalmol. 2007 Jan;143(1):202

Abstract

Purpose: To report the clinical features of tractional internal limiting membrane (ILM) detachment in highly myopic eyes with posterior staphyloma.

Design: Observational case report.

Methods: We reviewed the optical coherence tomography images of 249 eyes in the high myopia clinic. ILM detachment was observed in six eyes (2.4%). We investigated the clinical feature of this finding.

Results: Myopic foveoschisis (MF) was present in four of the six eyes (67%) (six patients, two men and four women; mean age, 57.3 years). The mean axial length was 29.3 mm and the mean refractive error was -15.0 diopters. The best-corrected visual acuity levels ranged from 20/400 to 20/13.

Conclusions: Rigidity of the ILM seems to cause tangential traction and results in a major cause of a disease specific to high myopia; that is, MF.

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