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October 1961

Retinal Detachment Due to Macular and Small Posterior Holes

Author Affiliations

Montreal, Canada
From the Retinal Detachment Clinic of the Montreal General Hospital.

Arch Ophthalmol. 1961;66(4):528-533. doi:10.1001/archopht.1961.00960010530015

This is a report concerning the management of 12 cases of retinal detachment due to macular and small posterior holes. There were 5 cases with macular holes alone; 3 with both macular and peripheral holes and 4 with small posterior holes. The latter are included because they represent similar problems in diagnosis and technique of operation.

Retinal detachments due to macular holes are rare.1 The reported incidence is about 1% of all detachments.2 Most macular "holes" are not accompanied by detachment.3 *,4,5†,6 Posterior detachments without holes are reported.7 "Many published cases of successfully treated breaks in the macula undoubtedly show no true macular break because the relatively good postoperative vision reported is incompatible with such a lesion."1

Of the many reported causes of macular holes, high myopia is thought to be the most frequent.3‡,6,12

The methods of operation varied. Simple diathermy is used on,