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April 1988

The Ocutome Vitrector in High Myopia

Author Affiliations


Arch Ophthalmol. 1988;106(4):446-447. doi:10.1001/archopht.1988.01060130488005

To the Editor.  —We recently noted a limitation of the Ocutome (Cooper-Vision, Irvine, Calif) vitrectomy instrument in a highly myopic eye that, to our knowledge, had not been previously reported.

Report of a Case.  —A 60-year-old myopic woman presented with a retinal detachment in the right eye complicated by marked vitreous fibrosis and a macular hole. A chronic retinal detachment was noted in the left eye, for which the patient had previously refused surgical treatment. Her best corrected visual acuity was 20/200 OD and counting fingers at 5 ft in the left eye. Funduscopic examination of the right eye disclosed the additional findings of a myopic conus and tilted optic disc, lattice retinal degeneration superotemporally, and inferotemporal vitreous base avulsion with a retinal tear.Due to extensive vitreous traction, both a scleral buckling

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