To the Editor.
—In the article by Kuriyama et al1 in the November 1990 issue of the Archives, the authors report an unusually high number of retinal detachments due to macular holes. In fact, the largest series in the literature, to our knowledge, reports a 0.6% incidence of macular break as a cause of retinal detachment.2 In our institution, it is rare to see a retinal detachment secondary to a macular hole. On first impression, many detachments in patients with high myopia appear to have a hole in the macula. The detached macula in these patients is extremely thin at the fovea and gives the appearance of a full-thickness hole. Myopic retinal detachments frequently have very small peripheral tears that are difficult to see. The majority of the patients in the article by Kuriyama et al1 underwent scleral buckling procedures. The repair of the detachments could be
Davidorf FH. Surgical Technique in Retinal Detachment due to a Macular Hole. Arch Ophthalmol. 1991;109(9):1195. doi:10.1001/archopht.1991.01080090017005