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[Clinical Picture] Retinal detachment in severe myopia

A 15-year-old boy presented to the UC Davis Eye Center in January, 2016, with acute vision loss in the right eye. He had severe myopia in both eyes measuring −14 diopters, and his visual acuity was only light perception in the left eye from a long-standing retinal detachment that had been left untreated due to parental neglect. At presentation, his central visual acuity in the right eye was near his habitual 20/60, and fundus examination showed a retinal detachment with a giant circumferential retinal tear that spared the macula (figure).