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High myopia with macular staphyloma and macular hole: Extreme myopia can lead to an outpouching of the posterior sclera called a staphyloma. This is easily evident on 3D examination, but not that clear on photos, so I attempted to mark the edge of the staphyloma for this post. The OCT demonstrates the concave sclera, choroidal thinning and the macular hole. These membrane peel surgeries are perhaps the most delicate in our field. The retina is thin and the eye is long. Thankfully, I was able to
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