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August 1968

Retinal Detachments Due to Juxtapapillary Microholes

Author Affiliations

Tel-Hashomer, Israel
From the Department of Ophthalmology, Government Hopital Tel-Hashomer, University of Tel-Aviv Medical School, Tel-Hashomer, Israel.

Arch Ophthalmol. 1968;80(2):155-160. doi:10.1001/archopht.1968.00980050157001

The characteristic features of an unusual apparently rare clinical entity represented by juxtapapillary retinal microholes, the accompanying retinal detachments, occurring mostly in high myopic eyes, are described in 6 cases. The genesis of these holes is related to the pull of a detached vitreous on retinovitreal adhesions in Martegiani's area. These tiny holes are closely adjacent to retinal blood vessels and situated predominantly in the lower nasal quadrant. The resulting retinal detachments are shallow, not undulating, mostly stationary or only slowly progressive, and with few exceptions involve the inferior nasal quadrant. Simple glaucoma was found in an unexpected high proportion.