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Small percentage of high myopes have macular holes without visual symptoms

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Asymptomatic macular holes are present in a small percentage of people with very high myopia, according to a retrospective case series.

Andrea Maria Coppe, MD, and colleagues, evaluated the presence of macular holes in 383 eyes highly myopic eyes in 383 patients with no visual disturbances such as metamorphopsia. Patients were evaluated with optical coherence tomography every 6 months for a mean 30 months.

Asymptomatic macular holes were found in 24 of the 383 eyes (6.26%), according to the authors. During the course of the study, five of the 24 eyes (20.8%) progressed to symptomatic macular holes.

“Greater degree of myopia and younger age were associated with the evolution of the macular disease, consisting of an enlargement of the macular hole and/or the onset of a macular detachment,” the authors reported.

This study is published in the December issue of Ophthalmology.