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The condition of posterior staphyloma in high myopia was first described by Scarpa in the 1800s.
There may also be changes in the fundus, including posterior staphyloma, caused by the eye growing posteriorly and losing its spherical shape.
Retrobulbar anaesthesia is contraindicated in posterior staphyloma, high axial myopia and enopthalmos.
As the posterior staphyloma enlarges, choroidal tissue becomes thin and Bruch's membrane begins to break, creating lesions called lacquer cracks.
The surgery aims to cover the thinning posterior pole with a supportive material to withstand intraocular pressure and prevent further progression of the posterior staphyloma.
"The macular buckling procedure in the treatment of retinal detachment in highly myopic eyes with macular hole and posterior staphyloma: mean follow-up of 15 years."
Degenerative myopia, also known as malignant, pathological, or progressive myopia, is characterized by marked fundus changes, such as posterior staphyloma, and associated with a high refractive error and subnormal visual acuity after correction.