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September 1991

Surgical Technique in Retinal Detachment due to a Macular Hole-Reply

Author Affiliations

Kyoto, Japan

Arch Ophthalmol. 1991;109(9):1195. doi:10.1001/archopht.1991.01080090017006

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In Reply.  —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

Margherio RR, Schepens CL.  Macular breaks, I: diagnosis, etiology and observations . Am J Ophthalmol . 1969;4:24.
Ogino N.  Retinal detachment with macular hole: statistical study of some characteristics . Acta Soc Ophthalmol Jpn . 1979;83:275-278.