光干渉断層計にて経過観察を行った強度近視性黄斑円孔網膜剝離の1例

Macular hole retinal detachment in a case of high myopia followed up by optical coherence tomography

要約　65歳女性が6か月前からの左眼の変視症と中心暗点で受診した。左眼には-12Dの近視と，後部ぶどう腫内に限局する黄斑円孔網膜剝離があった。黄斑プロンベ縫着術により網膜剝離は復位し，術前0.02の矯正視力が術後1か月で0.15に改善した。光干渉断層計（OCT）による検索が網膜剝離の診断，網膜下液の状態，網膜復位の過程の観察に有用であった。

Abstract.　A 65-year-old woman presented with metamorphopsia and central scotoma in her left eye since 6 months before. Her left eye had myopia of-12 diopters and macular hole retinal detachment localized within the posterior staphyloma. The retina became reattached by scleral buckling using a macular explant. Corrected visual acuity improved from 0.02 before surgery to 0.15 one month after surgery. Throughout the course of disease,optical coherence tomography（OCT）was useful in the diagnosis of retinal detachment,and evaluation of the changing state of subretinal fluid.