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Curbside Consultation in Retina

Case Reports

Three-Dimensional Visualization of Vitreoretinal Abnormalities in High Myopia

Ophthalmic Surgery, Lasers and Imaging   Vol. 40   No. 3   May/June 2009
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Raimondo Forte, MD; Gianluigi Manzi, MD; Otello Gallo, MD and Giuseppe de Crecchio, MD

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ABSTRACT

The authors have evaluated with three-dimensional (3D) spectral domain optical coherence tomography (SD-OCT) four highly myopic eyes (2 patients) presenting with peripapillary detachment of the pigment epithelium (PDPM), vitreoretinal tractions, and myopic retinoschisis. Three-dimensional SD-OCT analysis of PDPM revealed an optically empty space localized beneath the retinal pigment epithelium (RPE). A peripapillary separation of the retina-RPE complex from the choroid could explain the presence of this space. The 3D imaging of vitreomacular tractions could help physicians plan the appropriate surgical approach in patients with myopic posterior detachment due to macular hole. [Ophthalmic Surg Lasers Imaging 2009;40:304-307.]

AUTHORS

From the Eye Department, University Federico II, Naples, Italy (RF, GD); and the Eye Department, Monaldi Hospital, Naples, Italy (GM, OG).

Accepted for publication May 8, 2008.

The authors have no financial or proprietary interest in the materials presented herein.

Address correspondence to Raimondo Forte, MD, Università Federico II, Dipartimento di Scienze Oftalmologiche, Via Pansini 5, 80131 Naples, Italy.

doi: 10.9999/15428877-20090430-15

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