Figure 16-20 A case of rhegmatogenous retinal detachment caused by a macular hole. A, Fundus photograph (50-degree camera) of the detached retina with a macular hole visible in the center of the macula (arrow).B, A retinal drawing of the extent of the detachment. The area within the blue outline is detached; the red dot symbolizes the macular hole. At presentation, the detachment did not extend to the ora serrata; lack of such an extension is uncharacteristic even for a limited rhegmatogenous retinal detachment arising from a peripheral break. A lattice lesion with pigmentation is drawn superiorly. C, Fundus photograph (30-degree camera) of the macula after successful retinal reattachment using vitrectomy surgery with gas tamponade. Typical myopic fundus features include retinal pigment epithelial changes from myopic degeneration, fair pigmentation, peripapillary scleral crescent, and prominent large choroidal vessels.