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—We appreciate Dr Davidorf's interest in our article and his comments regarding the initial operation in a patient with high myopia who has a retinal detachment presumably due to a macular hole. In Japan, it is not rare to see a patient with a retinal detachment due to macular hole. In fact, some Japanese ophthalmologists report a 10% incidence of macular hole causing a retinal detachment, which is much higher than the incidence reported by Margherio and Schepens.1 The difference in the incidence of retinal detachment secondary to a macular hole between Japan and the United States may be attributed to the difference between the races. Our coauthor, Dr Ogino, reported a 27% incidence of associated frequencies of peripheral retinal tears with macular hole and a 13.1% incidence in patients with degenerative myopia.2 These data are in agreement with Dr Davidorf's comments.We evaluated retinal detachment
Kuriyama S, Matsumura M, Harada T, Ishigooka H, Ogino N. Surgical Technique in Retinal Detachment due to a Macular Hole-Reply. Arch Ophthalmol. 1991;109(9):1195. doi:10.1001/archopht.1991.01080090017006