Retinal Detachments Due to Juxtapapillary Microholes

Regenbogen, L; Stein, Reuven

doi:10.1001/archopht.1968.00980050157001

Cited by 14 publications

(7 citation statements)

References 4 publications

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“…Regenbogen and Stein described seven eyes with juxtapapillary holes that were, in contradistinction to our cases, 2–3 DDs away from the optic nerve and never within peripapillary atrophy 11. In addition, their cases were associated with nonprogressive retinal detachment, even after unsuccessful intervention.…”

Section: Discussioncontrasting

confidence: 65%

“…There are previous reports of juxtapapillary holes in the literature 11–13. Regenbogen and Stein described seven eyes with juxtapapillary holes that were, in contradistinction to our cases, 2–3 DDs away from the optic nerve and never within peripapillary atrophy 11.…”

Section: Discussioncontrasting

confidence: 52%

“…Treatment modalities such as pars plana vitrectomy (PPV) with long-term silicone oil, macular buckles, cryotherapy, and transscleral diathermy5–7 have been described, but the optimum treatment remains unclear. Several peripapillary lesions have been described in high myopia, including optic and conus pits, juxtapapillary holes, and intrachoroidal cavitations 8–11. However, their relationship to symptomatic retinal detachment has not been fully explored.…”

Section: Introductionmentioning

confidence: 99%

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Progressive retinal detachment secondary to juxtapapillary microholes in association with type 3 posterior staphylomas

Dinah¹,

Vaideanu-Collins²,

Steel³

2014

OPTH

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PurposeThis study describes a novel subtype of retinal detachment occurring in eyes with pathological myopia associated with type 3 posterior staphyloma and discusses the management options.MethodsWe retrospectively reviewed the case notes of seven patients who presented with unilateral symptomatic rhegmatogenous retinal detachment secondary to nasal juxtapapillary microholes.ResultsAll seven patients had pathological myopia and an associated peripapillary type 3 posterior staphyloma. They all presented with symptoms of acute posterior vitreous detachment and had progressive retinal detachment. All cases were discovered to have a single juxtapapillary hole less than 1 disc diameter from the optic-nerve head, within areas of nasal chorioretinal atrophy. The microholes were identified intraoperatively in six of seven cases, with one case identified preoperatively on optical coherence tomography. In the four most recent cases, successful retinal reattachment was achieved with vitrectomy and C2F6 gas tamponade. The remaining three cases were managed with vitrectomy and silicone oil.ConclusionSeven patients with pathological myopia, type 3 posterior staphyloma, and progressive retinal detachment secondary to juxtapapillary microholes are presented in this paper. High clinical suspicion is required to identify these breaks. Successful retinal reattachment with pars plana vitrectomy and long-acting gas is possible.

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Section: Discussioncontrasting

confidence: 65%

Section: Discussioncontrasting

confidence: 52%

Section: Introductionmentioning

confidence: 99%

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Progressive retinal detachment secondary to juxtapapillary microholes in association with type 3 posterior staphylomas

Dinah¹,

Vaideanu-Collins²,

Steel³

2014

OPTH

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“…Paravascular vitreoretinal traction occurs in highly myopic eyes and may cause paravascular retinal tears [4,5,7,8]. Although autopsy studies have shown that paravascular retinal rarefaction is a precursor of paravascular retinal tears, we are unaware of any previous studies demonstrating this precursor lesion in human patients.…”

Section: Discussionmentioning

confidence: 94%

Detection of paravascular retinal cysts before using OCT in a highly myopic patient

Ohno‐Matsui

Hayashi

Tokoro

et al. 2005

Graefe's Arch Clin Exp Ophthalmo

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“…Several previous studies [21][22][23] have reported retinal detachment due to juxtapapillary microholes. In contrast to the bigger linear retinal breaks found along the temporal vascular arcades in our study, these juxtapapillary microholes were generally round, smaller than the diameter of the adjacent retinal vessels, and mainly situated in the lower nasal quadrant at a distance of 1 to 2 disc diameters from the optic nerve.…”

Section: Commentmentioning

confidence: 92%

Rhegmatogenous Retinal Detachment Due to Paravascular Linear Retinal Breaks Over Patchy Chorioretinal Atrophy in Pathologic Myopia

Chen¹

2010

Arch Ophthalmol

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To characterize posterior paravascular linear retinal breaks over areas of patchy chorioretinal atrophy as a cause of retinal detachment among patients with pathologic myopia.Methods: In this retrospective case series, we evaluated 10 pathologically myopic eyes having rhegmatogenous retinal detachment associated with posterior paravascular linear retinal breaks.Results: Ten eyes with posterior paravascular linear retinal breaks and retinal detachment were identified from January 1, 2008, to July 31, 2009. The retinal breaks were most frequently found along the inferotemporal vascular arcade, followed by the superotemporal arcade. The length of the breaks ranged from 0.25 to 1 disc diameter, and their distance from the optic disc ranged from 1 to 5 disc diameters. These paravascular linear retinal breaks have distinct clinical characteristics, including a strong propensity to occur over areas of patchy chorioretinal atrophy, a linear shape that is oriented parallel to the adjacent retinal vessels, and a tendency to result in progressive retinal detachment. Vitrectomy with gas tamponade was performed in all cases, and retinal reattachment was achieved in 9 cases by a single operation.Conclusions: Paravascular linear retinal breaks over areas of patchy chorioretinal atrophy represent a distinct clinical entity that can result in a special category of retinal detachment among patients with pathologic myopia. These breaks are apt to elude detection before surgery, and a careful search along the posterior vascular arcades during vitrectomy may help to detect these abnormalities. Pars plana vitrectomy with photocoagulation and intraocular tamponade may lead to a resolution of such rhegmatogenous retinal detachments.

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Retinal Detachments Due to Juxtapapillary Microholes

Cited by 14 publications

References 4 publications

Progressive retinal detachment secondary to juxtapapillary microholes in association with type 3 posterior staphylomas

Progressive retinal detachment secondary to juxtapapillary microholes in association with type 3 posterior staphylomas

Detection of paravascular retinal cysts before using OCT in a highly myopic patient

Rhegmatogenous Retinal Detachment Due to Paravascular Linear Retinal Breaks Over Patchy Chorioretinal Atrophy in Pathologic Myopia

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Retinal Detachments Due to Juxtapapillary Microholes

Cited by 14 publications

References 4 publications

Progressive retinal detachment secondary to&nbsp;juxtapapillary microholes in association with&nbsp;type&nbsp;3&nbsp;posterior staphylomas

Progressive retinal detachment secondary to&nbsp;juxtapapillary microholes in association with&nbsp;type&nbsp;3&nbsp;posterior staphylomas

Detection of paravascular retinal cysts before using OCT in a highly myopic patient

Rhegmatogenous Retinal Detachment Due to Paravascular Linear Retinal Breaks Over Patchy Chorioretinal Atrophy in Pathologic Myopia

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Progressive retinal detachment secondary to juxtapapillary microholes in association with type 3 posterior staphylomas

Progressive retinal detachment secondary to juxtapapillary microholes in association with type 3 posterior staphylomas