The clinical spectrum of localized peripapillary detachment in pathologic myopia
- VernacularTitle:病理性近视眼继发视盘周围视网膜脱离的临床分析
- Author:
Yi, YAO
;
Li, JIANG
;
Wai-Man, CHAN
- Publication Type:Journal Article
- Keywords:
pathologic myopia;
optical coherence tomography;
peripapillary detachment;
staphyloma
- From:
International Eye Science
2006;6(4):758-761
- CountryChina
- Language:Chinese
-
Abstract:
AIM: To report the clinical manifestations of localized peripapillary detachment in pathologic myopia and to evaluate its underlying associations and causes.METHODS: From December 2002 to January 2004, 10eyes from 7 patients with high myopia were identified to have localized peripapillary detachment by optical coherent tomography (OCT). The features were described together with the fundus fluorescein angiography, indocyanine green angiography and multifocal electroretinogram.RESULTS: Localised peripapillary detachments did not cause any symptoms by themselves and all the lesions were recognized because of other ocular problems. The areas of peripapillary detachment were all located within the posterior staphyloma. In the 5 eyes with type 1 staphyloma, the locations of detachment were all in the nasal half of the peripapillary area. In the other 5 eyes with type 2 and 3 staphyloma, the locations of detachment were all in the non-nasal peripapillary area. The difference between these two groups was statistically significant (Fisher's exact test, ,P= 0.01).CONCLUSION: Peripapillary detachment is probably a benign complication of posterior staphyloma in pathologic myopia. The site of peripapillary detachment is affected by the location of staphyloma and OCT is important in making the diagnosis.
